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1609585983
INGRID LLUDELIS RIVAS BREA
MIAMI, FL
NPI
1609585983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH19360)
Enumeration Date
2022-11-16
Last Update Date
2022-12-07
Business Address
INGRID LLUDELIS RIVAS BREA
34 SW 60TH AVE
MIAMI, FL 33144-3341
Phone number: 786-602-6206
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Mailing Address
INGRID LLUDELIS RIVAS BREA
34 SW 60TH AVE
MIAMI, FL 33144-3341
Phone number: 786-602-6206
Copy
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