Individual
TAMARA LEA MCKLVEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1301 RIVERPLACE BLVD STE 800, JACKSONVILLE, FL 32207-9032
(917) 634-5311
Mailing address
15693 83RD LN N, LOXAHATCHEE, FL 33470-6224
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MH20102
FL
Other
Enumeration date
04/04/2022
Last updated
04/04/2022
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