Individual
JENNIFER SPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
398 CAMINO GARDENS BLVD STE 202, BOCA RATON, FL 33432-5827
(561) 503-6439
(509) 753-6231
Mailing address
398 CAMINO GARDENS BLVD STE 202, BOCA RATON, FL 33432-5827
(561) 503-6439
(509) 753-6231
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2253
FL
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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