Individual
MRS. SUSANA E PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 NW 57TH AVE APT 2, MIAMI, FL 33126-4836
(305) 456-5097
Mailing address
501 NW 57TH AVE APT 2, MIAMI, FL 33126-4836
(305) 456-5097
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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