Individual
MRS. AIDA JANETH PETRLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1265 NW 12TH AVE, MIAMI, FL 33136-2140
(305) 547-6827
(305) 547-6848
Mailing address
7508 GARFIELD ST, HOLLYWOOD, FL 33024-5328
(954) 986-9218
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1540
FL
Other
Enumeration date
12/13/2006
Last updated
07/09/2007
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