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Individual

MRS. GLENDA ROLDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A

Contact information

Practice address
1485 S SEMORAN BLVD, SUITE 1402, WINTER PARK, FL 32792-5533
(407) 736-1040
(407) 736-0310
Mailing address
2105 IRISE CT APT 203, ORLANDO, FL 32807-3748
(407) 736-1040
(407) 736-0310

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YP2500X
Professional Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0424
DATE OF BIRTH
FL
Enumeration date
04/21/2009
Last updated
04/21/2009
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