Individual
MRS. MARINES VIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1114 REDMAN ST, APT B, ORLANDO, FL 32839
(787) 224-1838
Mailing address
1114 REDMAN ST, APT B, ORLANDO, FL 32839
(787) 224-1838
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5623
PR
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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