Individual
HEATHER JO MOSURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
701 SW 27TH AVE, SUITE G20, MIAMI, FL 33135-3031
(305) 643-7800
(305) 643-1345
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001153900
—
FL
Enumeration date
05/14/2009
Last updated
09/14/2009
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