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Individual

CHERMIKA DORESTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
7621 LITTLE RD STE 200, NEW PORT RICHEY, FL 34654-5533
(727) 686-9247
Mailing address
7621 LITTLE RD STE 200, NEW PORT RICHEY, FL 34654-5533
(727) 686-9247

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7709222072
FL
Enumeration date
09/09/2014
Last updated
09/09/2014
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