Individual
TINA MARIE FAIRWEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
228 VANDERBILT DR, LAKE WORTH, FL 33460-6241
(507) 412-9006
(507) 934-2654
Mailing address
228 VANDERBILT DR, LAKE WORTH, FL 33460-6241
(507) 412-9006
(507) 934-2654
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1903
MN
Other
Enumeration date
07/17/2008
Last updated
06/27/2024
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