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Individual

ELIZABETH M QUINTAVALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2808 ENTERPRISE RD STE 105, DEBARY, FL 32713-2753
(386) 259-5413
Mailing address
2808 ENTERPRISE RD STE 105, DEBARY, FL 32713-2753
(386) 259-5413

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05362800
NJ

Other

Enumeration date
04/07/2025
Last updated
04/07/2025
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