Individual
LEONELA FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13004 SW 88 TERRACE, MIAMI, FL 33186
(305) 965-2601
Mailing address
13004 SW 88 TERRACE, MIAMI, FL 33186
(305) 965-2601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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