Individual
ALICE MORAL DENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
140 NW 59TH ST, MIAMI, FL 33127-1218
(305) 759-8888
(305) 757-5989
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763055700
—
FL
Enumeration date
08/07/2006
Last updated
05/13/2010
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