Lissette Collazo Maza's National Provider Identifier (NPI) Details
Lissette Collazo Maza, LCSW
NPI: 1700968690
Enumeration Date: 2006-10-19
Last updated: 2018-03-29
Sole Proprietor: NO
Status: active
Postal Address: 3850 W FLAGLER ST, CORAL GABLES, FL
Phone: 305-774-3334
Primary Practice Address: 11031 NE 6TH AVE, MIAMI, FL
Practice's phone: 305-398-6100