Individual
TIFFANY LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18811 NW 12TH AVE, MIAMI, FL 33169
(786) 419-5519
Mailing address
18811 NW 12TH AVE, MIAMI, FL 33169-3748
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3435
FL
Other
Enumeration date
10/31/2013
Last updated
06/28/2018
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