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DEYANIRA COTILLA

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508309816

Individual Registrant:
 DEYANIRA  COTILLA 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
483 E COWBOY WAY  LABELLE, FL 33935-4402 US
Tel: 863-674-5012  Fax: --

Contact information for business:
483 E COWBOY WAY  LABELLE, FL 33935-4402 US
Tel: 863-674-5012  Fax: --

Registration Information:
NPI: 1508309816
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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