Individual
ELIZABETH MARIA DIEZ LICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13371 SW 17TH LN APT 8, MIAMI, FL 33175-7634
(786) 230-0590
Mailing address
13371 SW 17TH LN APT 8, MIAMI, FL 33175-7634
(786) 230-0590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/02/2017
Last updated
12/01/2025
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