Individual
GLORIA REBECA PINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
4992 SW 173RD AVE, MIRAMAR, FL 33029-5092
(954) 600-3067
Mailing address
4992 SW 173RD AVE, MIRAMAR, FL 33029-5092
(954) 600-3067
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17498
LICENSE
FL
Enumeration date
01/18/2021
Last updated
01/18/2021
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