Individual
MRS. ILENE M. VINIKOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DCSW, LMFT
Contact information
Practice address
420 SE 12TH ST, FORT LAUDERDALE, FL 33316-1902
(954) 522-7335
Mailing address
420 SE 12TH ST, FORT LAUDERDALE, FL 33316-1902
(954) 522-7335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW104
FL
106H00000X
Marriage & Family Therapist
Primary
MT67
FL
Other
Enumeration date
05/16/2007
Last updated
08/08/2011
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