MEDICARE: JULIET AGUIAR LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW15565	FL

General Provider Information

NPI Number	:	1194383026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIET AGUIAR LCSW

Provider Business Mailing Address
First Line	:	1311 NW 29TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2027
Country	:	US
Telephone Number	:	305-469-9968
Fax Number	:

Provider Business Practice Location Address
First Line	:	12260 SW 8TH ST STE 154
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-1508
Country	:	US
Telephone Number	:	305-469-9968
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2019
Last Update Date	:	06/05/2019

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Directions to “ JULIET AGUIAR LCSW” Practice Location

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