Individual
DAMARIS VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BROADWAY STE 2043145, KISSIMMEE, FL 34741-5703
(321) 321-2066
(866) 901-7201
Mailing address
3145 VIA OTERO DR, KISSIMMEE, FL 34744-4103
(413) 351-6470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17099
FL
Other
Enumeration date
09/23/2008
Last updated
06/16/2020
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