Individual
LUZ WATERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 N UNIVERSITY DR, SUNRISE, FL 33351-6210
(954) 368-1864
Mailing address
4200 N UNIVERSITY DR, SUNRISE, FL 33351-6210
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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