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SANDRA M DAVILA

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

Registrant NPI Number: 1265944839

Individual Registrant:
 SANDRA M DAVILA 
Gender: F
Sole Proprietor

Location and contact information for practice:
19390 COLLINS AVE APT 720  SUNNY ISLES BEACH, FL 33160-2231 US
Tel: 786-281-7721  Fax: --

Contact information for business:
7811 CORAL WAY STE 106  MIAMI, FL 33155-6540 US
Tel: 305-412-0140  Fax: --

Registration Information:
NPI: 1265944839
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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