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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

Details

NameValue
NPI1467195867
Enumeration Date2022-04-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
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
FORT WALTON BEACH, FL 32547-6756
United States

Phone: 850-460-9699 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Single Specialty Group
1041C0700X - Social Worker - Clinical
FL19244