Provider Information for 1801362520
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CELIA SUZETTE HARRILAL LMHC
Sex: Female
NPI: 1801362520
Last Updated: 2018-10-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1801362520 | ||||||||
| Enumeration Date | 2018-10-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6601 SHERIDAN ST HOLLYWOOD, FL 33024-3938 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 6601 SHERIDAN STREET HOLLYWOOD, FL 33024-3302 United States Phone: 305-815-5364 | Fax: | ||||||||
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