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Individual

MR. RICHARD MENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1201 NW 16TH ST # 122, MIAMI, FL 33125-1624
(305) 575-7000
(305) 575-3380
Mailing address
3800 AMALFI DR, HOLLYWOOD, FL 33021-1358
(954) 961-4988
(954) 894-6670

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
043064
NY

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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