Individual
MRS. TRENA YOUNGLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7821 PINE MARSH CT, ORLANDO, FL 32819-7130
(407) 903-0810
Mailing address
7821 PINE MARSH CT, ORLANDO, FL 32819-7130
(407) 903-0810
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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