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Individual

ANDREA LYNN CIARAVINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 NE 55TH PL, FORT LAUDERDALE, FL 33308-3458
(954) 536-0833
Mailing address
2900 NE 55TH PL, FORT LAUDERDALE, FL 33308-3458
(954) 536-0833

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14334
FL
103K00000X
Behavior Analyst
Primary
MH14334
FL

Other

Enumeration date
05/11/2018
Last updated
05/11/2018
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