Individual
MS. MICHELE THERESA BAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
315 N LAKEMONT AVE, WINTER PARK, FL 32792-3205
(407) 830-6412
Mailing address
515 LIGHTNING TRL, MAITLAND, FL 32751-4048
(407) 506-7097
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 1654
FL
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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