Individual
SHANTANIQUE DALEJA MOORE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2959 ALAFAYA TRL STE 121, OVIEDO, FL 32765-9482
(407) 986-1360
(407) 986-1361
Mailing address
12259 FOX HOUND LN, ORLANDO, FL 32826-3666
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4951
FL
Other
Enumeration date
06/11/2024
Last updated
06/19/2024
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