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1316039621
MIRENTXU LEIVA
MIAMI, FL
NPI
1316039621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY5798)
Enumeration Date
2006-09-28
Last Update Date
2018-08-15
Business Address
-- MIRENTXU LEIVA PSYD
25 SE 2ND AVE STE 1240
MIAMI, FL 33131-1606
Phone number: 305-401-2085
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Mailing Address
-- MIRENTXU LEIVA PSYD
4141 NAUTILUS DR 7-H
MIAMI BEACH, FL 33140-2839
Phone number: 305-401-2085
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