Organization
MOONFLOWER & MORNING GLORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE BABCOCK PSY.D. (OWNER)
(651) 295-8333
Entity
Organization
Contact information
Practice address
1609 N FEDERAL HWY, LAKE WORTH, FL 33460-6644
(561) 582-3459
Mailing address
1609 N FEDERAL HWY, LAKE WORTH, FL 33460-6644
(561) 582-3459
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8414
FL
Other
Enumeration date
10/13/2014
Last updated
11/17/2014
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