Provider Demographics
NPI:1649992207
Name:ACEVEDO, ALONDRA LIZ
Entity type:Individual
Prefix:
First Name:ALONDRA
Middle Name:LIZ
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 FOX QUARRY LN
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-4316
Mailing Address - Country:US
Mailing Address - Phone:407-402-6449
Mailing Address - Fax:
Practice Address - Street 1:7108 FOX QUARRY LN
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-4316
Practice Address - Country:US
Practice Address - Phone:407-402-6449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker