Individual
VICTORIA LEE TUMMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4570 EMERALD VIS APT J289, LAKE WORTH, FL 33461-7232
(908) 914-5988
Mailing address
4570 EMERALD VIS APT J289, LAKE WORTH, FL 33461-7232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00120100
NJ
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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