Individual
AIDA MARIA CUSTODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 SAWGRASS CORPORATE PKWY STE 106, SUNRISE, FL 33325-6236
(954) 745-1112
Mailing address
9516 SW 117TH AVE, MIAMI, FL 33186-2122
(305) 725-8599
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
FL
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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