Provider Information for 1366291080
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AVONLEA A VEILLEUX LCSW
Sex: Female
NPI: 1366291080
Last Updated: 2024-05-15
Certification Date: 2024-01-29
Certification Date: 2024-01-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1366291080 | ||||||||
| Enumeration Date | 2024-05-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 44310 COMMANCHEE RD CALLAHAN, FL 32011-7381 United States Phone: 305-783-7104 | Fax: | ||||||||
| Primary Practice Address | 44310 COMMANCHEE RD CALLAHAN, FL 32011-7381 United States Phone: 305-783-7104 | Fax: | ||||||||
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