Individual
MARY SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 OSER DR, CROWNSVILLE, MD 21032-1116
(407) 810-4678
Mailing address
4300 W LAKE MARY BLVD STE 1010, LAKE MARY, FL 32746-2449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19864
FL
Other
Enumeration date
01/28/2022
Last updated
06/02/2023
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