Individual
ELIZABETH FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2634 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4106
(850) 445-6193
Mailing address
2634 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4106
(850) 523-3333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/22/2022
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