Individual
MS. MILAGROS SOCOORO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 NICHELE BLVD, LAKE PLACID, FL 33852-8995
(863) 243-2728
Mailing address
414 NICHELE BLVD, LAKE PLACID, FL 33852-8995
(863) 243-2728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
02/21/2013
Last updated
01/17/2020
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