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Organization
LATINO KIDS AND FAMILY MENTAL HEALTH LLC
Active
Organization
LATINO KIDS AND FAMILY MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERMINA L ROMAN LMHC (OWNER)
(787) 452-7173
Entity
Organization
Contact information
Practice address
11327 VILLAGE BROOK DRIVE, RIVERVIEW, FL 33579
(813) 278-7644
Mailing address
11327 VILLAGE BROOK DR, RIVERVIEW, FL 33579-7191
(787) 452-7173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/04/2020
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