Individual
MARY SHATARA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
100 COLUMBIA ST, ORLANDO, FL 32806-1006
(407) 875-3700
Mailing address
100 COLUMBIA ST, ORLANDO, FL 32806-1006
(407) 875-3700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4257
FL
Other
Enumeration date
09/19/2022
Last updated
09/20/2022
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