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Individual

CANDIDO F. TEJADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HS

Contact information

Practice address
120 NW 59TH ST, MIAMI, FL 33127-1218
(305) 758-3634
(305) 759-5869
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/23/2010
Last updated
09/27/2010
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