Individual
JANA LEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1012 WATERSIDE CIR, WESTON, FL 33327-2021
(954) 610-3540
Mailing address
1012 WATERSIDE CIR, WESTON, FL 33327-2021
(954) 610-3540
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1718
FL
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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