Provider Demographics
NPI:1033147392
Name:SUAREZ, CHRISTENE ELIZABETH (MSW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTENE
Middle Name:ELIZABETH
Last Name:SUAREZ
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 1:2445 LAKE VISTA CT
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-6472
Mailing Address - Country:US
Mailing Address - Phone:321-397-6098
Mailing Address - Fax:
Practice Address - Street 1:2445 LAKE VISTA CT
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-6472
Practice Address - Country:US
Practice Address - Phone:321-397-6098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR69801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical