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Individual

MARIA BARROSO CUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15901 BASS RD STE 102, FORT MYERS, FL 33908-3838
(239) 343-6050
(239) 343-6051
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6050
(239) 343-6051

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
103TF0000X
Family Psychologist
Primary
PY12463
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124784500
FL
Enumeration date
04/21/2016
Last updated
12/05/2024
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