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Organization

PSYCHOLOGICAL CENTER FOR CHILDREN AND ADOLESCENTS

Active
Other names
PECCA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARISA AZARET PSY D (DIRECTOR)
(305) 446-7673
Entity
Organization

Contact information

Practice address
2519 GALIANO ST, SUITE 712, CORAL GABLES, FL 33134-6132
(305) 446-7673
(305) 446-1440
Mailing address
2519 GALIANO ST, SUITE 712, CORAL GABLES, FL 33134-6132
(305) 446-7673
(305) 446-1440

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
FL

Other

Enumeration date
04/02/2007
Last updated
06/20/2008
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