Collazo Maza, Lissette

Collazo Maza, Lissette is an individual health care provider with primary practice located at 3850 W Flagler St , Coral Gables FL 33134-1604. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Collazo Maza, Lissette can be contacted via phone (305) 774-3334.

Contact Information

Primary practice address
3850 W Flagler St Coral Gables FL 33134-1604
Phone: (305) 774-3334
Fax: (305) 475-2650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8367 Florida

Profile Details

NPI number 1700968690
LBN Legal business name Collazo Maza, Lissette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Mar 29th, 2018 - about 8 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.

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