Individual
MICAL DESTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 SW 4TH AVE, DELRAY BEACH, FL 33444-2273
(561) 945-1430
Mailing address
1021 SW 4TH AVE, DELRAY BEACH, FL 33444-2273
(561) 945-1430
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
D235540938430
FL
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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