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Individual

CARLA VEGA BLOUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6420 W NEWBERRY RD STE 100, GAINESVILLE, FL 32605-6622
(352) 332-3900
(352) 332-5009
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12395
FL

Other

Enumeration date
05/12/2011
Last updated
04/08/2025
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