Individual
ERICA NECOLE DESAUSSURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1630 CALLIE CT, APOPKA, FL 32703-1567
(407) 721-9595
Mailing address
1630 CALLIE CT, APOPKA, FL 32703-1567
(407) 721-9595
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT2127
FL
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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