Individual
LISIEL BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4649 PONCE DE LEON BLVD STE 404, CORAL GABLES, FL 33146-2121
(786) 536-9714
(786) 536-9833
Mailing address
4649 PONCE DE LEON BLVD STE 404, CORAL GABLES, FL 33146-2121
(786) 536-9714
(786) 536-9833
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCM102823
FL
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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