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Individual
IMARA CISNEROS
Active
Individual
IMARA CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
IMH 12320
FL
101YM0800X
Mental Health Counselor
IMH 12320
FL
101YM0800X
Mental Health Counselor
Primary
MH19678
FL
Other
Enumeration date
06/15/2014
Last updated
11/16/2022
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