Individual
ALTAGRACIA VERGEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18313 SW 153RD PL, MIAMI, FL 33187-6215
(786) 436-2927
Mailing address
18313 SW 153RD PL, MIAMI, FL 33187-6215
(786) 436-2927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
FL
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
08/07/2012
Last updated
12/08/2021
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