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Organization

2000 THERAPY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ODALYS J. WAUGH PHD (MENTAL HEALTH COUNSELOR)
(305) 491-5223
Entity
Organization

Contact information

Practice address
12651 S DIXIE HWY, SUITE 317, MIAMI, FL 33156-5975
(305) 491-5223
Mailing address
12651 S DIXIE HWY, SUITE 317, MIAMI, FL 33156-5975
(305) 491-5223

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 8795
FL

Other

Enumeration date
01/07/2014
Last updated
01/07/2014
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