Individual
PATRICIA M GRULLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1503 SW 30TH PL, FORT LAUDERDALE, FL 33315-2733
(305) 975-6064
Mailing address
1503 SW 30TH PL, FORT LAUDERDALE, FL 33315-2733
(305) 975-6064
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4623
FL
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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