Ailen De La Vega, CBHCMS
NPI #1427556547 in Sweetwater, Florida
Provider Information
- NPI Number
- 1427556547
- Entity Type
- Individual
- Name
- Ailen De La Vega, CBHCMS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- CBHCMS
- Enumeration Date
- Jan 23, 2018
- Last Updated
- Jul 5, 2023
Practice Location
- Address
- 1400 NW 107TH AVE STE 310
- City
- Sweetwater
- State
- Florida
- ZIP Code
- 33172-2746
- Phone
- (786) 436-0778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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| MS. Lisa S. Blizzard, SUPPORT COORDINATOR |
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