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1568898807
MICHELLE MANTILLA
HIALEAH, FL
NPI
1568898807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY8859)
Enumeration Date
2013-09-18
Last Update Date
2017-03-22
Business Address
-- MICHELLE MANTILLA Psy.D
4175 W 20TH AVE
HIALEAH, FL 33012-5874
Phone number: 305-825-0300
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Mailing Address
-- MICHELLE MANTILLA Psy.D
14132 SW 52ND LN
MIRAMAR, FL 33027-5981
Phone number: 786-863-1948
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