Individual
STEPHANIE MARIE ROQUE MIDONECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 GOODLETTE FRANK RD, NAPLES, FL 34102-5661
(239) 289-9796
Mailing address
501 GOODLETTE FRANK RD, NAPLES, FL 34102-5661
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/09/2019
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