Individual
WILFREDO MORALES GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9999 NE 2ND AVE STE 203, MIAMI SHORES, FL 33138-2345
(786) 580-5131
(786) 580-5149
Mailing address
9999 NE 2ND AVE STE 203, MIAMI SHORES, FL 33138-2345
(786) 580-5131
(786) 580-5149
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
06/15/2020
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