Provider Information for 1043042658
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Mrs. SUSANA MEJIA VARGAS LCSW
Sex: Female
NPI: 1043042658
Last Updated: 2024-08-21
Certification Date: 2024-08-21
Certification Date: 2024-08-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043042658 | ||||||||
| Enumeration Date | 2024-08-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 155 OCEAN LANE DR APT 800 KEY BISCAYNE, FL 33149-1476 United States Phone: 305-733-1775 | Fax: | ||||||||
| Primary Practice Address | 155 OCEAN LANE DR APT 800 KEY BISCAYNE, FL 33149-1476 United States Phone: 305-733-1775 | Fax: | ||||||||
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