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Individual
JEANETTE AGUAYO
Active
Individual
JEANETTE AGUAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/09/2016
Last updated
10/07/2016
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