Individual
DR. ROCHELLE S CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
2800 WESTON RD STE 100202, WESTON, FL 33331-3638
(954) 336-6697
Mailing address
775 SW 148TH AVE APT 1610, DAVIE, FL 33325-3093
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3183
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT3183
STATE OF FLORIDA MARRIAGE AND FAMILY THERAPY LICENSE
FL
Enumeration date
08/30/2017
Last updated
08/30/2017
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