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Organization
MINDLINE THERAPY LLC
Active
Organization
MINDLINE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIANNE EGUE RODRIGUEZ (PRESIDENT)
(786) 502-0890
Entity
Organization
Contact information
Practice address
9561 FONTAINEBLEAU BLVD APT 314, MIAMI, FL 33172-6844
(786) 502-0890
Mailing address
9561 FONTAINEBLEAU BLVD APT 314, MIAMI, FL 33172-6844
(786) 502-0890
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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