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Individual

DANNIER GONZALEZ CHACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15924 SW 92ND AVE, PALMETTO BAY, FL 33157-1842
(305) 964-5824
Mailing address
13774 SW 171ST LN, MIAMI, FL 33177-2196
(786) 327-4500

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1109
FL
Enumeration date
07/10/2019
Last updated
07/10/2019
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