Individual
MS. HASINA T ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MFT
Contact information
Practice address
2217 NW 59TH AVE # A-71, LAUDERHILL, FL 33313-3147
(954) 394-6801
Mailing address
2217 NW 59TH AVE # A-71, LAUDERHILL, FL 33313-3147
(954) 394-6801
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
317087
FIRST AID
FL
Enumeration date
12/27/2010
Last updated
12/27/2010
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