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Individual

DAIMI CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1412 NE 17TH CT, FT LAUDERDALE, FL 33305-3348
(954) 736-8093
Mailing address
1412 NE 17TH CT, FT LAUDERDALE, FL 33305-3348

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH17181
FL

Other

Enumeration date
01/04/2020
Last updated
01/04/2020
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