JORGE FONSECA

HOMESTEAD, FL
NPI1417267485
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH6607)
Enumeration Date2010-10-08
Last Update Date2010-10-08
Business Address
-- JORGE FONSECA
654 NE 9TH PL
HOMESTEAD, FL 33030-4934
Phone number: 305-248-3488
Mailing Address
-- JORGE FONSECA
15310 SW 52ND LN
MIAMI, FL 33185-4276
Phone number: 786-286-0860
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