Kaidi Tastet-Ortiz, LCSW
NPI #1982152278 in St Augustine, Florida
Provider Information
- NPI Number
- 1982152278
- Entity Type
- Individual
- Name
- Kaidi Tastet-Ortiz, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 14, 2016
- Last Updated
- Sep 14, 2016
Practice Location
- Address
- 1400 OLD DIXIE HWY
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-4190
- Phone
- (904) 829-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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