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Individual

MARCELA MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4835 SW 111TH AVE, MIAMI, FL 33165-6132
(786) 301-8476
(786) 301-8476
Mailing address
4835 SW 111TH AVE, MIAMI, FL 33165-6132
(786) 624-9329

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
24606
MD
1041C0700X
Clinical Social Worker
50081938
DC
1041C0700X
Clinical Social Worker
SW15365
FL
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker
Primary
50081938
DC

Other

Enumeration date
08/13/2015
Last updated
02/17/2025
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