Individual
LISETTE TERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
654 NE 9TH PL, HOMESTEAD, FL 33030
(305) 248-3488
(305) 248-6558
Mailing address
117 SW 10TH ST APT 1007, MIAMI, FL 33130-3683
(786) 397-0652
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCM100249-A
FLORIDA CERTIFICATION BOARD
FL
Enumeration date
08/31/2018
Last updated
08/31/2018
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