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Individual

DR. MONIQUE LEVERMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
15715 S DIXIE HWY, SUITE 404, PALMETTO BAY, FL 33157-1800
(786) 293-0922
(786) 293-0923
Mailing address
15715 S DIXIE HWY, SUITE 404, PALMETTO BAY, FL 33157-1800
(786) 293-0922
(786) 293-0923

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 0005628
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54205
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/28/2009
Last updated
08/28/2009
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