Individual
MS. DOLORES M PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33101-6960
(305) 355-9105
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33101-6960
(305) 355-9105
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW4533
FL
Other
Enumeration date
07/30/2006
Last updated
10/14/2015
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