Individual
DR. SUSANA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6175 NW 153RD ST STE 205, MIAMI LAKES, FL 33014-2435
(305) 814-8558
Mailing address
6175 NW 153RD ST STE 205, MIAMI LAKES, FL 33014-2435
(305) 814-8558
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY8411
FL
Other
Enumeration date
09/10/2009
Last updated
11/14/2016
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