Individual
STAYC SHARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST, SUITE 5,, POMPANO BEACH, FL 33062-3565
(954) 603-7885
(954) 342-0273
Mailing address
2708 NE 14TH ST, SUITE 5,, POMPANO BEACH, FL 33062-3565
(954) 603-7885
(954) 342-0273
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
03/10/2011
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