Provider Information for 1215524467
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MARIHELENA NOGUERA MUJICA LMHC
Sex: Female
NPI: 1215524467
Last Updated: 2022-09-21
Certification Date: 2022-09-21
Certification Date: 2022-09-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1215524467 | ||||||||
| Enumeration Date | 2020-12-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4281 ANISSA AVE APT 202 ORLANDO, FL 32814-6174 United States Phone: 787-689-2085 | Fax: | ||||||||
| Primary Practice Address | 2479 ALOMA AVE WINTER PARK, FL 32792-2541 United States Phone: 407-657-6692 | Fax: | ||||||||
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