| |
515 N Flagler Dr Suite P-300 West Palm Beach FL 33401-4321 | |
(561) 908-4858 | |
(561) 828-0589 |
Full Name | |
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Speciality | Counselor - Professional |
Location | 515 N Flagler Dr, West Palm Beach, Florida |
Authorized Official Name and Position | Mary Katherine Tatum (OWNER) |
Authorized Official Contact | 5619084858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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515 N Flagler Dr Suite P-300 West Palm Beach FL 33401-4321 Ph: (561) 908-4858 | 515 N Flagler Dr Suite P-300 West Palm Beach FL 33401-4321 Ph: (561) 908-4858 |
NPI Number | 1114389871 |
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Provider Enumeration Date | 03/22/2016 |
Last Update Date | 03/23/2016 |
Identifier | Type | State | Issuer |
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1114389871 | NPI | - | NPPES |
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