Individual
ROSA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMFTI
Contact information
Practice address
2220 NW 145TH AVE, PEMBROKE PINES, FL 33028-2866
(754) 422-7030
Mailing address
11996 NW 11TH ST, PEMBROKE PINES, FL 33026-4371
(754) 422-7030
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 1886
FL
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/20/2014
Last updated
03/20/2017
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