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Individual
MAYRA DE LA TORRE
Active
Individual
MAYRA DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
SZ11886
FL
Other
Enumeration date
08/09/2021
Last updated
03/29/2024
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