Individual
EURICA KETANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1120 NW 14TH ST, ROOM 1210, MIAMI, FL 33136-2107
(305) 243-5600
Mailing address
1120 NW 14TH ST, ROOM 1210, MIAMI, FL 33136-2107
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
08/21/2015
Last updated
02/13/2019
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