Individual
MR. SERGIO BALCAZAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.F.T.
Contact information
Practice address
2700 W CYPRESS CREEK RD, D104, FORT LAUDERDALE, FL 33309-1744
(954) 514-7569
Mailing address
2700 W CYPRESS CREEK RD, D104, FORT LAUDERDALE, FL 33309-1744
(954) 514-7569
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2634
FL
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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