Individual
MRS. EVELYN THERESA CASTILLO-FUNDORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.P, ED.S
Contact information
Practice address
13101 SW 84TH ST, MIAMI, FL 33183-4323
(305) 302-4776
Mailing address
13101 SW 84TH ST, MIAMI, FL 33183-4323
(305) 302-4776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH21845
FL
103TS0200X
School Psychologist
Primary
SS1395
FL
Other
Enumeration date
05/23/2019
Last updated
01/12/2022
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