Individual
BRENDA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15924 SW 92ND AVE, PALMETTO BAY, FL 33157-1842
(305) 964-5824
Mailing address
18421 NW 85TH AVE, HIALEAH, FL 33015-2523
(786) 985-1559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
FL
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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