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Individual

EDLIN LAGO-HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3927 E 2ND AVE, HIALEAH, FL 33013-2208
(786) 285-0574
Mailing address
3927 E 2ND AVE, HIALEAH, FL 33013-2208
(786) 285-0574

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
IMH15658
FL

Other

Enumeration date
10/02/2018
Last updated
10/02/2018
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