Esther Marie Liceaga

NPI #1912442351 in North Lauderdale, Florida

Provider Information

NPI Number: 1912442351
Entity Type: Individual
Name: Esther Marie Liceaga
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 20, 2016
Last Updated: Dec 20, 2016

Practice Location

Address: 8205 SW 11TH CT
City: North Lauderdale
State: Florida
ZIP Code: 33068-3418
Phone: (787) 231-6166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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