Individual
LISA DORFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CSSD.LMHC
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 854-1065
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH2162
FL
133V00000X
Registered Dietitian
Primary
ND557
FL
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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