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Individual

DR. TATIANA MARGARITA SORIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
HURLBURT FIELD, HURLBURT FIELD, FL 32544
(850) 884-1111
Mailing address
HURLBURT FIELD, HURLBURT FIELD, FL 32544

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1771
AL
103TC0700X
Clinical Psychologist
Primary
PY0719
NV

Other

Enumeration date
10/09/2012
Last updated
11/03/2015
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