Individual
MARIA MOGOLLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
6291 SAVANNAH BREEZE CT APT 303, TAMPA, FL 33625-1107
(813) 679-6311
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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