Individual
MS. KATHRYN AURORA HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPPM,QPIN
Contact information
Practice address
11011 SHERIDAN ST STE 210, HOLLYWOOD, FL 33026-1531
(954) 552-6668
Mailing address
270 SW 112TH TER, PEMBROKE PINES, FL 33025-3410
(954) 449-3740
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
05/06/2016
Last updated
12/27/2024
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