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Individual

MRS. BETHANY MICHELE DUART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDS

Contact information

Practice address
350 NW 70 AVE, SUITE A, PLANTATION, FL 33317
(954) 587-7520
(954) 587-7527
Mailing address
844 NW 76 TERR, FT LAUDERDALE, FL 33324
(954) 476-6625

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
06/13/2007
Last updated
07/08/2007
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