Individual
BRANDI TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 N LAKE AVE, LAKELAND, FL 33801-1908
(863) 519-0575
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/23/2017
Last updated
10/24/2018
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