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1356919005
JUAN CARLOS VICENTE
WESTON, FL
NPI
1356919005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
JUAN CARLOS VICENTE RMHCI
2233 N COMMERCE PKWY STE 3
WESTON, FL 33326-3252
Phone number: 954-217-1757
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Mailing Address
JUAN CARLOS VICENTE RMHCI
305 S KETCH DR
SUNRISE, FL 33326-2240
Phone number: 757-230-6436
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