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1538648738
IVANNA VIDAL
WESTON, FL
NPI
1538648738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 10343)
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
IVANNA VIDAL LCSW
1500 WESTON RD
WESTON, FL 33326-3263
Phone number: 954-292-0928
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Mailing Address
IVANNA VIDAL LCSW
1500 WESTON RD
WESTON, FL 33326-3263
Phone number:
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