Individual
KEYANA MICHELLE WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5766 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(386) 295-8086
Mailing address
3141 NW 47TH TER APT 226, LAUDERDALE LAKES, FL 33319-6636
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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