Individual
NISHEBA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1387 NW 81ST AVE, PLANTATION, FL 33322-5796
(954) 529-6874
Mailing address
1387 NW 81ST AVE, PLANTATION, FL 33322-5796
(954) 529-6874
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT2384
FL
Other
Enumeration date
11/24/2019
Last updated
11/24/2019
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