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Individual

IVONNE M ASENCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1101 MIRANDA LN, KISSIMMEE, FL 34741-0769
(407) 494-3787
(888) 584-9071
Mailing address
2752 PATRICIAN CIR, KISSIMMEE, FL 34746-3293
(787) 317-2673

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11826
FL

Other

Enumeration date
07/13/2023
Last updated
07/13/2023
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