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Individual

DR. LIANNE ACOSTA- GINART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
8020 SW 24TH ST, MIAMI, FL 33155-1225
(786) 942-6709
Mailing address
PO BOX 441051, MIAMI, FL 33144-1051
(786) 942-6709

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7501
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PY7501
LICENSE
FL
Enumeration date
06/06/2007
Last updated
08/06/2008
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