Individual
SIERRA MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 COLONIAL RD, FORT PIERCE,, FL 34951
(772) 489-4726
Mailing address
2222 COLONIAL RD STE 100, FORT PIERCE, FL 34950-5309
(772) 489-4726
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
222Q00000X
Developmental Therapist
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
11/22/2011
Last updated
07/26/2022
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