Individual
DR. TETIANA SUKACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7700 RENFREW LN, COCONUT CREEK, FL 33073-3508
(954) 698-9222
(954) 698-9007
Mailing address
7700 RENFREW LN, COCONUT CREEK, FL 33073-3508
(954) 698-9222
(954) 698-9007
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3518
FL
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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