Individual
MELISSA DE LA CRUZ DE LA IGLESIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM
Contact information
Practice address
9535 SW 24TH ST APT E204, MIAMI, FL 33165-8058
(786) 630-8663
Mailing address
9535 SW 24TH ST APT E204, MIAMI, FL 33165-8058
(786) 630-8663
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0104918
FL
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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