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1801148317
BERTHA LUCIA TAVAREZ
PLANTATION, FL
NPI
1801148317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: FL PY 8633)
Enumeration Date
2012-10-08
Last Update Date
2012-10-08
Business Address
DR. BERTHA LUCIA TAVAREZ PSY.D.
7449 NW 4TH ST
PLANTATION, FL 33317-2216
Phone number: 954-773-4146
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Mailing Address
DR. BERTHA LUCIA TAVAREZ PSY.D.
7449 NW 4TH ST
PLANTATION, FL 33317-2216
Phone number: 954-773-4146
Copy
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