Individual
CORALIS IVETTE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983
(772) 873-8811
Mailing address
518 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983
(772) 873-8811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/23/2026
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