Lissette Collazo Maza LCSW

NPI 1700968690 - Social Worker - 1041C0700X

NPI Details
NPI 1700968690
Gender Female
Enumeration Date 10/19/2006
Last Updated 12/12/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
CORAL GABLES FL, 33134-1604, US
Phone (305) 774-3334
Fax (305) 475-2650
Business Location
11031 NE 6TH AVE
MIAMI FL, 33161-7182, US
Phone (305) 398-6100
Fax (305) 398-6099
Taxonomy Code 1041C0700X
License State Florida
License Number SW8367
Remove 1700968690 NPI Number

According to our database, Mrs. Lissette Collazo Maza LCSW NPI is 1700968690, taxonomy code is 1041C0700X and license number is SW8367, license state is located at Florida. Lissette Collazo Maza LCSW physically located at 3850 W Flagler St, Coral Gables FL, 33134-1604. NPI Number Lissette Collazo Maza LCSW has the Individual type.

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1700968690 NPI number is provided on an as is basis without warranty of any kind. 1700968690 is maintained by the National Plan & Provider Enumeration System. The contents of Lissette Collazo Maza LCSW are for informational purposes only.