Individual
MS. LOURDES M CASARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4601 PONCE DE LEON BLVD, SUITE 310, CORAL GABLES, FL 33146-2111
(305) 785-8227
Mailing address
4601 PONCE DE LEON BLVD, SUITE 310, CORAL GABLES, FL 33146-2111
(305) 785-8227
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 6221
FL
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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