Individual
MRS. FARAH JOLICOEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
7109 VIA LEONARDO, LAKE WORTH, FL 33467-5236
(561) 420-3608
(561) 963-7474
Mailing address
7109 VIA LEONARDO, LAKE WORTH, FL 33467-5236
(561) 420-3608
(561) 963-7474
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
05/01/2007
Last updated
01/15/2019
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