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Individual

ABBIE VITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17887 133RD TRL N, JUPITER, FL 33478-5604
(561) 214-1640
Mailing address
17887 133RD TRL N, JUPITER, FL 33478-5604
(561) 214-1640

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
9494
CT
1041C0700X
Clinical Social Worker
Primary
SW14903
FL

Other

Enumeration date
10/06/2009
Last updated
09/13/2023
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