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CARMEN MICHELE VIRTUOSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2102 S RIDGEWOOD AVE, EDGEWATER, FL 32141-4240
(386) 853-9100
Mailing address
664 ALDENHAM LN, ORMOND BEACH, FL 32174-1019
(917) 509-4038

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW20129
FL

Other

Enumeration date
06/24/2022
Last updated
06/24/2022
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