Provider Information for 1366005787
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JOY ADLE LMHC
Other Names:Other Name:JOY K ADLE LMHCSex: Female
NPI: 1366005787
Last Updated: 2020-10-05
Certification Date: 2020-10-05
Certification Date: 2020-10-05
Details
Name | Value | ||||||||
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NPI | 1366005787 | ||||||||
Enumeration Date | 2019-04-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 155 PENNOCK TRACE DR JUPITER, FL 33458-7577 United States Phone: | Fax: | ||||||||
Primary Practice Address | 4905 LANTANA RD LAKE WORTH, FL 33463-6915 United States Phone: 561-790-8072 | Fax:561-966-5654 | ||||||||
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