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Organization

LIVING WATER COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHARONDA WILLIAMS ENGRAM M.S. (REGISTERED MARRIAGE AND FAMILY THER)
(407) 949-0209
Entity
Organization

Contact information

Practice address
1540 INTERNATIONAL PKWY, LAKE MARY, FL 32746-5096
(407) 949-0209
(844) 549-5500
Mailing address
1540 INTERNATIONAL PKWY, LAKE MARY, FL 32746-5096
(407) 949-0209
(844) 549-5500

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
106H00000X
FL

Other

Enumeration date
11/14/2016
Last updated
11/14/2016
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