Individual
MARY JUDITH MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 S MAITLAND AVE, STE 104, MAITLAND, FL 32751-5638
(407) 719-9468
Mailing address
235 S MAITLAND AVE, STE 104, MAITLAND, FL 32751-6452
(407) 719-9468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH4930
FL
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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