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1396475778
YADIRA LICEA
MIAMI, FL
NPI
1396475778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: FL CBHCM104537)
Enumeration Date
2022-06-16
Last Update Date
2022-06-16
Business Address
YADIRA LICEA
12030 SW 129TH CT STE 211
MIAMI, FL 33186-4584
Phone number: 305-639-8760
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Mailing Address
YADIRA LICEA
15570 SW 57TH ST
MIAMI, FL 33193-2512
Phone number: 786-333-1099
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