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Individual

EVELIN Y MASSAMBA SIBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW, TCM

Contact information

Practice address
13194 SW 142ND ST, MIAMI, FL 33186-8921
(786) 546-4575
Mailing address
1550 S DIXIE HWY STE 203, CORAL GABLES, FL 33146-3034

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
12/02/2017
Last updated
12/02/2017
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Product
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