Provider Demographics
NPI:1942719190
Name:TORRES, WILMARIE (CLINICAL SOCIAL WORK)
Entity Type:Individual
Prefix:
First Name:WILMARIE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:CLINICAL SOCIAL WORK
Other - Prefix:
Other - First Name:WILMARIE
Other - Middle Name:
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CLINICAL SOCIAL WORK
Mailing Address - Street 1:1325 WHITEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34714-7539
Mailing Address - Country:US
Mailing Address - Phone:352-328-7435
Mailing Address - Fax:
Practice Address - Street 1:1325 WHITEWOOD WAY
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-7539
Practice Address - Country:US
Practice Address - Phone:352-328-7435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical