Individual
MARTESHA DAESHA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
654 NE 9TH PL, HOMESTEAD, FL 33030-4934
(305) 248-3488
Mailing address
22215 SW 114TH CT, MIAMI, FL 33170-4721
(786) 438-9559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CBHCM102315-P
FLORIDA CERTIFICATION BOARD
FL
Enumeration date
07/23/2018
Last updated
12/18/2018
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