Individual
MRS. ILIAMARIS RIVERA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3325 S UNIVERSITY DR, SUITE 209, DAVIE, FL 33328-2006
(954) 649-6014
Mailing address
3325 S UNIVERSITY DR, SUITE 209, DAVIE, FL 33328-2006
(954) 649-6014
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MF000604
PA
106H00000X
Marriage & Family Therapist
Primary
MT 2676
FL
Other
Enumeration date
11/11/2010
Last updated
04/11/2013
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