Individual
JAZARAE TYNAN KIRCHDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., M.S.ED.
Contact information
Practice address
7800 SW 57 AVE, SUITE 228, MIAMI, FL 33143
(305) 665-4999
(305) 665-0332
Mailing address
7800 SW 57 AVE, SUITE 228, MIAMI, FL 33143
(305) 665-4999
(305) 665-0332
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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