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Individual

JERRY ULYSSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4699 N STATE ROAD 7 STE B1, FORT LAUDERDALE, FL 33319-5870
(305) 465-1228
Mailing address
1040 NE 162ND ST, NORTH MIAMI BEACH, FL 33162-3823
(305) 465-1228

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3428
FL

Other

Enumeration date
03/10/2021
Last updated
03/10/2021
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