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Individual

MARCELA QUINTERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
1601 NW 12TH AVE STE 2060, MIAMI, FL 33136-1005
(305) 243-6660
Mailing address
1601 NW 12TH AVE STE 2060, MIAMI, FL 33136-1005
(305) 243-6660

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
FL
222Q00000X
Developmental Therapist
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
FL
Enumeration date
04/04/2016
Last updated
03/13/2019
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