Individual
DEANDRA TONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 NE 140TH ST, NORTH MIAMI, FL 33161-3234
(786) 972-7554
Mailing address
760 NE 140TH ST, NORTH MIAMI, FL 33161-3234
(786) 972-7554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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