Individual
LAKISHA FOXWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 6TH WAY, WEST PALM BCH, FL 33407-6672
(561) 316-7591
Mailing address
611 6TH WAY, WEST PALM BCH, FL 33407-6672
(561) 316-7591
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4139
FL
Other
Enumeration date
10/11/2021
Last updated
11/28/2022
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