Individual
MISS LAUREN NICOLE MAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, L.M.F.T.
Contact information
Practice address
4041 BAHIA VISTA ST, SARASOTA, FL 34232-2421
(941) 378-1549
(941) 342-1781
Mailing address
4041 BAHIA VISTA ST, SARASOTA, FL 34232-2421
(941) 378-1549
(941) 342-1781
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 1117
FL
Other
Enumeration date
11/19/2008
Last updated
07/01/2013
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