Individual
ILEANA VERGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14177 WALCOTT AVE, ORLANDO, FL 32827-7490
(602) 826-8845
Mailing address
14177 WALCOTT AVE, ORLANDO, FL 32827-7490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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