Individual
LAURA MANTELLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7450 GRIFFIN RD STE 250, DAVIE, FL 33314-4104
(954) 800-0279
Mailing address
10275 COLLINS AVE APT 815, BAL HARBOUR, FL 33154-1422
(954) 800-0279
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2592
FL
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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