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Individual

DEBORAH MACHADO LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CBHCM-P

Contact information

Practice address
11085 SW 221ST TER, MIAMI, FL 33170-3040
(786) 348-3506
Mailing address
11085 SW 221ST TER, MIAMI, FL 33170-3040
(786) 348-3506

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCMP100814
FL

Other

Enumeration date
07/26/2021
Last updated
07/26/2021
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