Individual
LIZMARIE JORGE ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3230 WHITEFIELD DR APT 407, KISSIMMEE, FL 34747-2090
(931) 257-4381
Mailing address
3230 WHITEFIELD DR APT 407, KISSIMMEE, FL 34747-2090
(931) 257-4381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/22/2021
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