Provider Information for 1639361587
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Ms. SVETLANA SOKOL LCSW
Sex: Female
NPI: 1639361587
Last Updated: 2021-10-13
Certification Date: 2021-10-13
Certification Date: 2021-10-13
Details
Name | Value | ||||||||||||
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NPI | 1639361587 | ||||||||||||
Enumeration Date | 2007-08-14 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 6717 67TH WAY PINELLAS PARK, FL 33781-5054 United States Phone: 727-873-9640 | Fax: | ||||||||||||
Primary Practice Address | 4255 73RD AVE N UNIT F PINELLAS PARK, FL 33781-4546 United States Phone: 727-873-9640 | Fax: | ||||||||||||
Secondary Practice Address(es) | 1012 DRUID RD E 5800 49TH ST N STE 207 | ||||||||||||
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