Individual
CHRISTA JALLORINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
11309 EMERALD SHORE DR, RIVERVIEW, FL 33579-4201
(571) 719-7718
Mailing address
11309 EMERALD SHORE DR, RIVERVIEW, FL 33579-4201
(571) 719-7718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904009357
VA
1041C0700X
Clinical Social Worker
12343
MD
1041C0700X
Clinical Social Worker
Primary
SW16341
FL
Other
Enumeration date
02/25/2016
Last updated
11/24/2021
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