Individual
MR. ANTONIO MIGUEL VAZQUEZ-PAUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9350 SW 72ND ST, MIAMI, FL 33173-3245
(305) 595-2590
(305) 595-3746
Mailing address
6101 SW 15TH ST, WEST MIAMI, FL 33144-5751
(305) 788-4590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW3712
FL
1041C0700X
Clinical Social Worker
Primary
SW3712
FL
Other
Enumeration date
06/01/2007
Last updated
01/26/2024
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