Individual
ENA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11011 SHERIDAN ST STE 211, HOLLYWOOD, FL 33026-1531
(786) 592-6230
Mailing address
3495 SOUTHWOOD CT, DAVIE, FL 33328-6959
(754) 245-2415
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3879
FL
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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