Individual
ISABEL A MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 EAST AVE APT 3, PAWTUCKET, RI 02860-3854
(917) 645-7553
Mailing address
315 EAST AVE APT 3, PAWTUCKET, RI 02860-3854
(917) 645-7553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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