Individual
ADILENI LORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7062
Mailing address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH14718
FL
Other
Enumeration date
08/10/2018
Last updated
09/08/2022
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