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Organization

CARMENE VAZQUEZ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARMENE VAZQUEZ LMHC (OWNER)
(305) 931-3845
Entity
Organization

Contact information

Practice address
3595 SHERIDAN ST, SUITE 105, HOLLYWOOD, FL 33021-3657
(305) 931-3845
Mailing address
3595 SHERIDAN ST, SUITE 105, HOLLYWOOD, FL 33021-3657
(305) 931-3845

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor

Other

Enumeration date
12/22/2014
Last updated
12/22/2014
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