Individual
VERONICA DARRISAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 WORLINGTON TER, FORT PIERCE, FL 34947-1335
(772) 528-6627
Mailing address
4140 WORLINGTON TER, FORT PIERCE, FL 34947-1335
(772) 528-6627
(772) 466-4988
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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