Individual
GLENDA INOCENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3271 NW 7TH ST STE 203, MIAMI, FL 33125-4141
(786) 220-6902
Mailing address
11842 SW 210TH ST, MIAMI, FL 33177-7005
(786) 458-2674
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100867
FL
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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