Individual
AGENIA DELOUCHE RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SW 62ND AVE FL 2, MIAMI, FL 33155-3009
(305) 663-8439
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11961
FL
Other
Enumeration date
06/13/2023
Last updated
08/06/2025
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