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Individual

IRAN GERMAN FUMERO MORALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CBHCM

Contact information

Practice address
2911 NW 66TH ST, MIAMI, FL 33147-7651
(786) 523-6451
Mailing address
2911 NW 66TH ST, MIAMI, FL 33147-7651
(786) 523-6451

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/16/2021
Last updated
03/24/2021
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