Provider Information for 1497400774
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DEBORA CRISTINA CHICUNGO MIRANDA LMHC
Sex: Female
NPI: 1497400774
Last Updated: 2022-02-15
Certification Date: 2022-02-15
Certification Date: 2022-02-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1497400774 | ||||||||
| Enumeration Date | 2022-02-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 9040 ROYAL PALM BLVD APT W104 CORAL SPRINGS, FL 33065-5839 United States Phone: 520-289-4688 | Fax: | ||||||||
| Primary Practice Address | 9040 ROYAL PALM BLVD APT W104 CORAL SPRINGS, FL 33065-5839 United States Phone: 520-289-4688 | Fax: | ||||||||
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