Individual
MRS. MARIA T CUESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM103801
Contact information
Practice address
4634 SW 129TH AVE, MIAMI, FL 33175-4532
(305) 300-2762
Mailing address
4634 SW 129TH AVE, MIAMI, FL 33175-4532
(305) 300-2762
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCM103801
FL
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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