Individual
KEALA CIOCON WEINSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMTPT, CPP
Contact information
Practice address
251 MAITLAND AVE, SUITE 307-E, ALTAMONTE SPRINGS, FL 32701-4914
(407) 252-5749
(407) 830-4978
Mailing address
251 MAITLAND AVE, SUITE 307-E, ALTAMONTE SPRINGS, FL 32701-4914
(407) 252-5749
(407) 830-4978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0016093
FL
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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