Individual
LINCE FAVORS VII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 LOIZOS DR NW, FORT WALTON BEACH, FL 32548-4702
(850) 243-0932
Mailing address
120 LOIZOS DR NW, FORT WALTON BEACH, FL 32548-4702
(850) 243-0932
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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