Provider Information for 1558194506
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VANESSA LEON MSW
Sex: Female
NPI: 1558194506
Last Updated: 2024-08-24
Certification Date: 2024-08-23
Certification Date: 2024-08-23
Details
| Name | Value | ||||||||
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| NPI | 1558194506 | ||||||||
| Enumeration Date | 2024-08-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 10222 SW 228TH TER MIAMI, FL 33190-1990 United States Phone: 786-493-4411 | Fax: | ||||||||
| Primary Practice Address | 7320 GRIFFIN RD DAVIE, FL 33314-4105 United States Phone: 954-405-8415 | Fax: | ||||||||
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