Individual
SUSAN LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3577 SW CORPORATE PKWY, PALM CITY, FL 34990-8153
(772) 220-3439
(772) 220-3484
Mailing address
3577 SW CORPORATE PKWY, PALM CITY, FL 34990-8153
(772) 220-3439
(772) 220-3484
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2699
FL
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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