Provider Information for 1548552235
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HEATHER ANNE CHILDS LMHC
Sex: Female
NPI: 1548552235
Last Updated: 2012-02-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1548552235 | ||||||||
| Enumeration Date | 2011-05-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 20191 E COUNTRY CLUB DR SUITE B AVENTURA, FL 33180-3012 United States Phone: 305-682-1171 | Fax:305-682-1170 | ||||||||
| Primary Practice Address | 20191 E COUNTRY CLUB DR SUITE B AVENTURA, FL 33180-3012 United States Phone: 305-682-1171 | Fax:305-683-1170 | ||||||||
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