Individual
EDIANE BOCAILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5185
Mailing address
2051 RENAISSANCE BLVD APT 103, MIRAMAR, FL 33025-5680
(305) 542-2012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8981
FL
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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