Individual
KIM FORERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 E DONEGAN AVE, KISSIMMEE, FL 34744-1932
(407) 878-0112
Mailing address
151 BRISTOL FOREST TRL, SANFORD, FL 32771-7996
(407) 878-0112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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