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Individual

KARIN CHARLOTTA WEIRI-KOLLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
2425 S VOLUSIA AVE, SUITE B2, ORANGE CITY, FL 32763-7625
(386) 848-5170
(386) 740-8251
Mailing address
2425 S VOLUSIA AVE, SUITE B2, ORANGE CITY, FL 32763-7625
(386) 848-5170
(386) 740-8251

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1992
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1932106903
NPI
FL
05
7618441 00
FL
Enumeration date
07/05/2005
Last updated
02/16/2012
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