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DEIDANIA VENECIA HENRIQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
15485 EAGLE NEST LN STE 150, MIAMI LAKES, FL 33014-2200
(786) 534-3457
(305) 406-9478
Mailing address
15485 EAGLE NEST LN STE 150, MIAMI LAKES, FL 33014-2200
(305) 316-1820
(786) 396-5317

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/23/2010
Last updated
04/01/2022
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