Individual
MS. DORIS ELIZABETH BANISTER-HAZAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1021 E ROBINSON ST, ORLANDO, FL 32801-2004
(407) 423-3327
Mailing address
705 KISSIMMEE PL, WINTER SPRINGS, FL 32708-4619
(407) 619-7692
(407) 696-7864
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
REG. INTERN 1284
FL
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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