Provider Demographics
NPI:1063625408
Name:NARANJO, ANNETTE MARIE (MSW)
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:MARIE
Last Name:NARANJO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9380 SUNSET DR STE B180
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5460
Mailing Address - Country:US
Mailing Address - Phone:305-235-8105
Mailing Address - Fax:305-274-9074
Practice Address - Street 1:9380 SUNSET DR STE B180
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5460
Practice Address - Country:US
Practice Address - Phone:305-235-8105
Practice Address - Fax:305-274-9074
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2009-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW2817104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker