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1407617756
AMANDA PONCE
MIAMI LAKES, FL
NPI
1407617756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH25180)
Enumeration Date
2024-01-23
Last Update Date
2024-01-23
Business Address
AMANDA PONCE MS
8004 NW 154TH ST UNIT 418
MIAMI LAKES, FL 33016-5814
Phone number: 305-530-8119
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Mailing Address
AMANDA PONCE MS
8312 W 14TH AVE
HIALEAH, FL 33014-3454
Phone number: 305-781-6835
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