Provider Information for 1881025914
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Ms. LAVERNE MARIE KALAFOR LCSW, Eds, CCHt
Other Names:Former Name:Miss LAVERNE MARIE WOMOWICZ MSWSex: Female
NPI: 1881025914
Last Updated: 2024-10-25
Certification Date: 2024-10-25
Certification Date: 2024-10-25
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1881025914 | ||||||||||||
| Enumeration Date | 2013-11-27 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 7018 US HIGHWAY 301 N ELLENTON, FL 34222-3030 United States Phone: 941-720-5732 | Fax:914-417-2371 | ||||||||||||
| Primary Practice Address | 7018 US HIGHWAY 301 N ELLENTON, FL 34222-3030 United States Phone: 941-720-5732 | Fax:914-417-2371 | ||||||||||||
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