Individual
MISS MARIA TERESA ILLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCMS
Contact information
Practice address
15600 SW 288TH ST STE 100A, HOMESTEAD, FL 33033-1200
(305) 972-6677
(305) 964-8981
Mailing address
15600 SW 288TH ST STE 100A, HOMESTEAD, FL 33033-1200
(305) 972-6677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0102726
FL
251B00000X
Case Management Agency
103934
FL
Other
Enumeration date
08/14/2023
Last updated
03/23/2026
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