Provider Information for 1467195867
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DAWN MARIE TORRES LCSW
Sex: Female
NPI: 1467195867
Last Updated: 2025-03-05
Certification Date: 2025-03-05
Certification Date: 2025-03-05
Details
Name | Value | ||||||||
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NPI | 1467195867 | ||||||||
Enumeration Date | 2022-04-14 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 402 GLENDALE AVE VALPARAISO, FL 32580-1098 United States Phone: 985-324-9495 | Fax: | ||||||||
Primary Practice Address | 402 GLENDALE AVE VALPARAISO, FL 32580-1098 United States Phone: 985-324-9495 | Fax: | ||||||||
Secondary Practice Address(es) | 907 MAR WALT DR STE 2021 | ||||||||
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