Individual
CELSA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2489 DIPLOMAT PKWY E, CAPE CORAL, FL 33909-5422
(239) 910-8904
Mailing address
950 MIRAHAM TER, IMMOKALEE, FL 34142-2484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15387
FL
Other
Enumeration date
07/08/2018
Last updated
07/08/2018
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