Individual
EDLINE DEMAJUSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 NE 164TH TER, NORTH MIAMI BEACH, FL 33162-3542
(561) 503-8645
Mailing address
360 NE 164TH TER, NORTH MIAMI BEACH, FL 33162-3542
(561) 503-8645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
D522-200-93-583-0
FL
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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