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Individual

JULIA L MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19121 SW 121ST AVE, MIAMI, FL 33177-3906
(786) 908-5343
Mailing address
19121 SW 121ST AVE, MIAMI, FL 33177-3906
(786) 908-5343

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
FL
247200000X
Other Technician
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
590839562
FL
Enumeration date
08/07/2017
Last updated
07/16/2019
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