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Individual

ANA LAURA MIRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
98120 QUEENS BLVD STE 1C, REGO PARK, NY 11374-4414
(631) 903-9250
Mailing address
6573 EMERALD DUNES DR APT 303, WEST PALM BEACH, FL 33411-2775
(631) 903-9250

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012787-01
NY

Other

Enumeration date
11/17/2022
Last updated
11/17/2022
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