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Individual

LORENA POLO IGLESIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
828 SW 154TH PATH, MIAMI, FL 33194-2737
(786) 662-9932
Mailing address
828 SW 154TH PATH, MIAMI, FL 33194-2737
(786) 662-9932

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
06/24/2021
Last updated
06/24/2021
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