Individual
MS. BETTY VIRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7821 N DALE MABRY HWY, TAMPA, FL 33614-3275
(813) 443-4827
Mailing address
24711 PORTOFINO DR, LUTZ, FL 33559-7405
(908) 220-9132
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05831600
NJ
1041C0700X
Clinical Social Worker
Primary
15750
FL
Other
Enumeration date
10/29/2013
Last updated
09/22/2020
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