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Provider Information for 1629705405


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VICTORIA VERANO LCSW


Sex: Female

NPI: 1629705405
Last Updated: 2022-08-08
Certification Date: 2022-08-08

Details

NameValue
NPI1629705405
Enumeration Date2022-08-02
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5339 GROVE VALLEY RD
TALLAHASSEE, FL 32303-7908
United States

Phone: 850-212-1646 | Fax:
 
Primary Practice Address 5339 GROVE VALLEY RD
TALLAHASSEE, FL 32303-7908
United States

Phone: 850-212-1646 | 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 - ClinicalFLSW7566