Aguerre De Sosa, Maria Jose
Aguerre De Sosa, Maria Jose is an individual health care provider with primary practice located at 1645 Dunlawton Ave Apt 2712 , Port Orange FL 32127-7928. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Aguerre De Sosa, Maria Jose can be contacted via phone (954) 404-2328.Contact Information
Primary practice address
1645 Dunlawton Ave Apt 2712
Port Orange FL 32127-7928
Phone: (954) 404-2328
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW16669 | Florida |
Profile Details
| NPI number | 1669131355 |
|---|---|
| LBN Legal business name | Aguerre De Sosa, Maria Jose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2021 |
| Last updated | Jan 6th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669131355 | NPPES |
| Other | SW16669 | LICENSED CLINICAL SOCIAL WORKER LICENSE |
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