Individual
LYEM PALACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9190 FONTAINEBLEAU BLVD, APT 402, MIAMI, FL 33172-4383
(305) 397-7340
Mailing address
9190 FONTAINEBLEAU BLVD, APT 402, MIAMI, FL 33172-4383
(305) 397-7340
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
004636
PR
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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