Individual
MARIBEL LOPEZ NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 ROMANO AVE, ORLANDO, FL 32807-1430
(407) 373-3487
Mailing address
1314 ROMANO AVE, ORLANDO, FL 32807-1430
(407) 373-3487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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