Individual
MARIA G CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, MA
Contact information
Practice address
12021 SW LAGUNA BAY PKWY, PORT ST LUCIE, FL 34987-7755
(908) 227-6302
Mailing address
12021 SW LAGUNA BAY PKWY, PORT ST LUCIE, FL 34987-7755
(908) 227-6302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00043200
NJ
Other
Enumeration date
06/30/2008
Last updated
05/16/2024
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