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Individual

MISS VIVIAN FOGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 N MIAMI BEACH BLVD, NORTH MIAMI BEACH, FL 33162-3842
(786) 320-5559
Mailing address
18800 NE 29TH AVE APT 601, AVENTURA, FL 33180-2829
(786) 427-5377

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-60585
FL
106H00000X
Marriage & Family Therapist
Primary
MT4594
FL

Other

Enumeration date
06/06/2017
Last updated
03/15/2023
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