Individual
JOSE PLACENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6790 NW 186TH ST, HIALEAH, FL 33015-3353
(786) 304-0189
Mailing address
6790 NW 186TH ST, HIALEAH, FL 33015-3353
(786) 304-0189
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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