Individual
EVA C VASQUEZ MARTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 LAGO VISTA BLVD, CASSELBERRY, FL 32707-5802
(305) 962-6297
Mailing address
106 LAGO VISTA BLVD, CASSELBERRY, FL 32707-5802
(305) 962-6297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW16441
FL
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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