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1972241180
ANDREA MANTILLA
PLANTATION, FL
NPI
1972241180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 19064)
Enumeration Date
2022-05-26
Last Update Date
2022-05-26
Business Address
ANDREA MANTILLA M.S.
4330 W BROWARD BLVD STE I
PLANTATION, FL 33317-3753
Phone number: 954-372-0423
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Mailing Address
ANDREA MANTILLA M.S.
45 SW 9TH ST APT 3902
MIAMI, FL 33130-3986
Phone number: 954-804-6480
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