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Individual

FABIOLA LORISTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
801 DOUGLAS AVE STE 208, ALTAMONTE SPRINGS, FL 32714-5206
(407) 760-1365
Mailing address
14132 CHEVAL VINEYARD WAY APT 106, ORLANDO, FL 32828-7659
(407) 760-1365

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/02/2014
Last updated
09/02/2014
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