Individual
ADELA BUCZYNSKI HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
338 N PARK AVE, WINTER PARK, FL 32789-3815
(407) 494-2460
Mailing address
338 N PARK AVE, WINTER PARK, FL 32789-3815
(407) 494-2460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MY 11688
FL
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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