Individual provider · NPI-1
Lazara Nidia Acosta, BS
Social Worker · Doral, FL
NPI number1619293198
StatusActive
Last updated in NPPESApr 9, 2010
Details
- NPI
- 1619293198
- Entity type
- Individual (NPI-1)
- Name
- Lazara Nidia Acosta
- Credential
- BS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2010
- Last updated
- Apr 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
1905 Nw 82nd AveDoral, FL 33126-1011
Phone 305-406-9585 · Fax 305-406-9478
Mailing address
11031 Ne 6th AveMiami, FL 33161-7182
Phone 305-398-6100 · Fax 305-757-4465
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