Individual
MS. TARA MARIE KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3521 W BROWARD BLVD, 3RD FLOOR, FT LAUDERDALE, FL 33312-1048
(954) 587-1008
(954) 587-0080
Mailing address
3521 W BROWARD BLVD, 3RD FLOOR, FT LAUDERDALE, FL 33312-1048
(954) 587-1008
(954) 587-0080
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2003
FL
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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