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Individual

MRS. ALESIA PRUDNIKAVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18201 COLLINS AVE APT 4707, SUNNY ISLES BEACH, FL 33160-5153
(954) 881-1523
Mailing address
18201 COLLINS AVE APT 4707, SUNNY ISLES BEACH, FL 33160-5153
(954) 881-1523

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH17278
FL
101YM0800X
Mental Health Counselor
Primary
MH17278

Other

Enumeration date
06/05/2020
Last updated
06/05/2020
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