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Organization
THOMAS DILORETO PHD INC
Active
Organization
THOMAS DILORETO PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DILORETO PHD (OWNER)
(904) 264-3014
Entity
Organization
Contact information
Practice address
1409 KINGSLEY AVE, #9C, ORANGE PARK, FL 32073-4537
(904) 264-3014
(904) 269-0842
Mailing address
1409 KINGSLEY AVE, #9C, ORANGE PARK, FL 32073-4537
(904) 264-3014
(904) 269-0842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW990
ZZ
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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