Individual
TISHIRO LETTISHA HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 NW 11TH ST STE W201, HOMESTEAD, FL 33030-4361
(340) 227-6591
Mailing address
3926 WILLOW HAMMOCK DR, PALMETTO, FL 34221-2836
(340) 227-6591
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3684
FL
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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