Individual
MS. MELINDA FEDORKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, ATR-BC
Contact information
Practice address
12120 SW 109TH AVE, MIAMI, FL 33176-4617
(305) 255-8648
(305) 355-8648
Mailing address
12120 SW 109TH AVE, MIAMI, FL 33176-4617
(305) 255-8648
(305) 355-8648
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT432
FL
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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