Individual
NATALYA FATEYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12565 ORANGE DR STE 406, DAVIE, FL 33330-4310
(954) 707-8520
Mailing address
2159 NW 76TH TER, HOLLYWOOD, FL 33024-3652
(954) 707-8520
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2774
FL
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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