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Individual

BEATRICE AUGUSTAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
654 NE 9TH PL, HOMESTEAD, FL 33030-4934
(305) 248-3488
Mailing address
22963 SW 107TH PL, MIAMI, FL 33170-7552

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH21483
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IMH21483
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
01/19/2023
Last updated
01/19/2023
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