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Provider Information for 1295472603


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Mrs. PAULA D'AMORE LCSW


Other Names:  
Former Name: 
Mrs. PAULA RIOS LCSW

Sex: Female

NPI: 1295472603
Last Updated: 2022-05-19
Certification Date: 2022-05-19

Details

NameValue
NPI1295472603
Enumeration Date2022-05-17
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 4340 NW 73RD WAY
CORAL SPRINGS, FL 33065-2155
United States

Phone: 561-779-5122 | Fax:
 
Primary Practice Address 4340 NW 73RD WAY
CORAL SPRINGS, FL 33065-2155
United States

Phone: 561-779-5122 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalFL11399