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Organization
LOURDES U BOTANA
Active
Organization
LOURDES U BOTANA
Active
Other names
dianoia counseling services
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES U BOTANA LCSW (PRESIDENT)
(305) 630-9386
Entity
Organization
Contact information
Practice address
9260 SUNSET DR, SUITE 207, MIAMI, FL 33173-3275
(305) 630-9386
(305) 630-9018
Mailing address
9260 SUNSET DR, SUITE 207, MIAMI, FL 33173-3275
(305) 630-9386
(305) 630-9018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 5528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW5528
PROFESSIONAL LICENSE
FL
Enumeration date
08/20/2007
Last updated
08/20/2007
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