MR. Martin A Derita, L.C.S.W., B.C.D.

NPI #1114990397 in Maitland, Florida

Provider Information

NPI Number
1114990397
Entity Type
Individual
Name
MR. Martin A Derita, L.C.S.W., B.C.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
L.C.S.W., B.C.D.
Enumeration Date
Feb 9, 2006
Last Updated
Feb 4, 2011

Practice Location

Address
235 S MAITLAND AVE
Address 2
SUITE101
State
Florida
ZIP Code
32751-5677
Phone
(407) 644-2121

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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