Individual
SHANTAL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2600 SW 4TH AVE, FORT LAUDERDALE, FL 33315-2610
(954) 467-4663
(954) 767-9804
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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