Individual
VIVIANA RUBIO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 NW 107TH AVE STE 109, SWEETWATER, FL 33172-2739
(786) 762-2952
(786) 762-2953
Mailing address
1414 NW 107TH AVE STE 109, SWEETWATER, FL 33172-2739
(786) 762-2952
(786) 762-2953
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1598
FL
104100000X
Social Worker
CCM100334
FL
Other
Enumeration date
05/25/2018
Last updated
10/27/2021
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