Provider Information for 1043834344
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PAMELA QUIROZ LCSW
Sex: Female
NPI: 1043834344
Last Updated: 2020-06-02
Certification Date: 2020-06-02
Certification Date: 2020-06-02
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043834344 | ||||||||
| Enumeration Date | 2020-06-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 232 WHIRLAWAY DR DAVENPORT, FL 33837-3652 United States Phone: 407-421-2401 | Fax: | ||||||||
| Primary Practice Address | 509 CAGAN VIEW RD CLERMONT, FL 34714-6405 United States Phone: 407-905-8827 | Fax:407-905-8998 | ||||||||
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