Individual
MALLICA DAVID REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3890 W COMMERCIAL BLVD STE 210, TAMARAC, FL 33309-3346
(954) 644-9567
Mailing address
3890 W COMMERCIAL BLVD STE 210, TAMARAC, FL 33309-3346
(954) 644-9567
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3178
FL
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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