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Individual

MRS. DEITRIA L BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
17501 SW 117TH AVE, MIAMI, FL 33177-2272
(305) 254-9759
(305) 256-0037
Mailing address
800 NW 15TH ST, MIAMI, FL 33136-1412
(305) 755-6500
(305) 372-1054

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
ISW 4702
FL
1041C0700X
Clinical Social Worker
Primary
SW11363
FL

Other

Enumeration date
07/19/2011
Last updated
02/28/2014
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