Individual
MICHELLE BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 TOWN CENTER BLVD APT 9107, CLERMONT, FL 34714-4455
(787) 668-6884
Mailing address
130 TOWN CENTER BLVD APT 9107, CLERMONT, FL 34714-4455
(787) 668-6884
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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