Individual
DIANELIS VILLALON SEGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM
Contact information
Practice address
2953 W 80TH ST APT 204, HIALEAH, FL 33018-3897
(786) 519-5266
Mailing address
2953 W 80TH ST APT 204, HIALEAH, FL 33018-3897
(786) 519-5266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
05/20/2024
Last updated
05/21/2024
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