Provider Information for 1245629286
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KATHLEEN MARIE CORONA LCSW
Sex: Female
NPI: 1245629286
Last Updated: 2020-05-27
Certification Date: 2020-05-27
Certification Date: 2020-05-27
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1245629286 | ||||||||
| Enumeration Date | 2015-01-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5101 COLLINS AVE APT 12L MIAMI BEACH, FL 33140-2726 United States Phone: 305-433-1396 | Fax: | ||||||||
| Primary Practice Address | 5101 COLLINS AVE APT 12L MIAMI BEACH, FL 33140-2726 United States Phone: 305-433-1396 | Fax:305-412-0140 | ||||||||
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