Individual
WALTER FABIAN REDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LCSW
Contact information
Practice address
11510 INTERCHANGE CIR N, MIRAMAR, FL 33025-6006
(954) 237-0355
(866) 632-6439
Mailing address
11510 INTERCHANGE CIR N, MIRAMAR, FL 33025-6006
(954) 237-0355
(866) 632-6439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW5782
FL
101YP2500X
Professional Counselor
Primary
SW5782
FL
1041C0700X
Clinical Social Worker
SW5782
FL
106H00000X
Marriage & Family Therapist
SW5782
FL
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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