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Individual

DR. CAROLINA F. RAEBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
2000 S. DIXIE HWY, UNIT 104, MIAMI, FL 33133
(786) 644-9404
Mailing address
12080 SW 127TH AVE # B1-114, MIAMI, FL 33186-6454
(561) 247-2409

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY10503
FL
103TC0700X
Clinical Psychologist
PY10503
FL

Other

Enumeration date
09/24/2019
Last updated
02/07/2022
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