Provider Information for 1043618861
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Mrs. JENNIFER DORADO L.M.H.C.
Sex: Female
NPI: 1043618861
Last Updated: 2014-12-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043618861 | ||||||||
| Enumeration Date | 2014-12-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 169 E FLAGLER ST SUITE 1300 MIAMI, FL 33131-1210 United States Phone: 305-573-3784 | Fax: | ||||||||
| Primary Practice Address | 400 NE 31ST ST MIAMI, FL 33137-4213 United States Phone: 305-573-3784 | Fax: | ||||||||
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