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Lisiel Betancourt

Social Worker in Coral Gables, FL. Individual provider (NPI-1).

NPI number1558024067
StatusActive
Last updated in NPPESOct 21, 2021

Details

NPI
1558024067
Entity type
Individual (NPI-1)
Name
Lisiel Betancourt
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 21, 2021
Certification date
Oct 21, 2021
Last updated
Oct 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerCBHCM102823FLYes

Practice location

4649 Ponce De Leon Blvd Ste 404
Coral Gables, FL 33146-2121

Phone 786-536-9714 · Fax 786-536-9833

Mailing address

4649 Ponce De Leon Blvd Ste 404
Coral Gables, FL 33146-2121

Phone 786-536-9714 · Fax 786-536-9833

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