Individual
MAYAHUEL SUSANA VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS29197
CA
106E00000X
Assistant Behavior Analyst
Primary
0-21-13263
CA
Other
Enumeration date
09/16/2015
Last updated
03/06/2025
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