Individual
PATRINA LOVELLA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5766 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(727) 846-3938
Mailing address
6 SEATON VALLEY PATH UNIT B, PALM COAST, FL 32164-5346
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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