Individual
MS. VINCENZINA DISALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT,CHT
Contact information
Practice address
105 NE 4TH ST, FT LAUDERDALE, FL 33301-3239
(954) 330-3721
Mailing address
11601 NW 29TH MNR, SUNRISE, FL 33323-1648
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2761
FL
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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