Individual
RUTH JEAN JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 NE 88TH ST, EL PORTAL, FL 33138-3104
(786) 285-0161
Mailing address
804 NE 125TH ST # 1110, NORTH MIAMI, FL 33161-5712
(786) 285-0161
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4704
FL
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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