Individual
TAWANDA DENISE SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
17501 SW 117TH AVE, MIAMI, FL 33177-2272
(305) 254-9759
Mailing address
17501 SW 117TH AVE, MIAMI, FL 33177-2272
(305) 254-9759
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT1025
FL
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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