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Individual

MR. MARCELO A. ESTEBAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
9075 SW 87TH AVE STE 414, MIAMI, FL 33176-2308
(305) 781-9536
(305) 412-0140
Mailing address
133 NW 99TH ST, MIAMI SHORES, FL 33150-1742
(305) 781-9536
(305) 274-0003

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5206
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020072600
FL
Enumeration date
03/22/2007
Last updated
12/04/2018
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