Individual
LORI YAKITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3491 GANDY BLVD N, PINELLAS PARK, FL 33781-2658
(727) 547-0607
Mailing address
620 4TH STREET NORTH, SAFETY HARBOR, FL 34695
(732) 309-4869
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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