Individual
LAURA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 COMMERCE DR, WEST MELBOURNE, FL 32904-2335
(321) 722-5200
Mailing address
400 SHERIDAN RD, MELBOURNE, FL 32901-3122
(321) 722-5200
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY9649
FL
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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