Individual
DALLY M PELAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1120 NW 14TH ST STE 1015, MIAMI, FL 33136-2107
(305) 243-2341
Mailing address
121 NW 34TH AVE, MIAMI, FL 33125-4928
(305) 807-9545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
SW14413
FL
1041C0700X
Clinical Social Worker
Primary
SW14413
FL
Other
Enumeration date
07/13/2017
Last updated
09/23/2020
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