Individual
EDY VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 NW 14TH ST FL 12, MIAMI, FL 33136-2107
(305) 243-6660
Mailing address
1120 NW 14TH ST RM 1213, MIAMI, FL 33136-2107
(305) 243-6660
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/21/2015
Last updated
05/13/2022
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