Individual
LAURA DEL CARMEN PRIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM104204
Contact information
Practice address
5590 W 20TH AVE STE 400, HIALEAH, FL 33016-7062
(305) 825-4320
(305) 825-8117
Mailing address
2951 W 80TH ST APT 204, HIALEAH, FL 33018-3892
(786) 285-6139
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CBHCM104204
FL
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM104204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110111300
—
FL
Enumeration date
06/03/2022
Last updated
06/16/2022
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