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Organization

BLUE DANDELION INTEGRATIVE THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DILIANA POLANCO (LCSW)
(321) 364-1218
Entity
Organization

Contact information

Practice address
6187 NW 167TH ST STE H26, HIALEAH, FL 33015-4366
(321) 364-1218
Mailing address
2903 W NEW HAVEN AVE # 646, WEST MELBOURNE, FL 32904-3661
(321) 364-1218

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
06/02/2020
Last updated
09/25/2025
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