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1225567662
MAITE BLANCO
HOLLYWOOD, FL
NPI
1225567662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH16923)
Enumeration Date
2017-06-08
Last Update Date
2024-04-26
Business Address
Mrs. MAITE BLANCO
7031 TAFT ST
HOLLYWOOD, FL 33024-3864
Phone number: 954-305-0860
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Mailing Address
Mrs. MAITE BLANCO
11012 NW 40TH ST
SUNRISE, FL 33351-8279
Phone number:
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