Individual
MICAH HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
750 S OBT TRL, ORLANDO, FL 32805-3118
(407) 872-0111
(800) 675-4619
Mailing address
6521 SW 63RD AVE, SOUTH MIAMI, FL 33143-3320
(305) 934-6532
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
711488
FL
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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