Provider Information for 1700259652
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DAGMAR MAE MIRABAL LCSW
Sex: Female
NPI: 1700259652
Last Updated: 2024-08-21
Certification Date: 2024-08-21
Certification Date: 2024-08-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1700259652 | ||||||||
| Enumeration Date | 2015-11-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8516 CUTLER CT CUTLER BAY, FL 33189-2511 United States Phone: 305-331-2239 | Fax:305-489-7837 | ||||||||
| Primary Practice Address | 8516 CUTLER CT CUTLER BAY, FL 33189-2511 United States Phone: 305-331-2239 | Fax:305-489-7837 | ||||||||
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