Individual
PATRICIA VAN VAERENBERGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9209
(813) 644-6364
(813) 972-3886
Mailing address
318 HOLLOWTREE DR, SEFFNER, FL 33584-5826
(813) 681-3242
(813) 681-5835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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