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1578103768
MICHAEL SAGE VASCONEZ
HIALEAH, FL
NPI
1578103768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW16925)
Enumeration Date
2020-01-15
Last Update Date
2020-01-15
Business Address
MICHAEL SAGE VASCONEZ LCSW
4175 W 20TH AVE
HIALEAH, FL 33012-5874
Phone number: 305-825-0300
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Mailing Address
MICHAEL SAGE VASCONEZ LCSW
4175 W 20TH AVE
HIALEAH, FL 33012-5874
Phone number:
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