Provider Information for 1861900284
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MARYSSA ZAFRA LMHC
Sex: Female
NPI: 1861900284
Last Updated: 2022-03-25
Certification Date: 2022-03-25
Certification Date: 2022-03-25
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1861900284 | ||||||||
| Enumeration Date | 2018-01-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2400 SW 132ND TER MIRAMAR, FL 33027-2684 United States Phone: 954-918-9122 | Fax: | ||||||||
| Primary Practice Address | 7031 TAFT ST HOLLYWOOD, FL 33024-3864 United States Phone: 954-918-9122 | Fax: | ||||||||
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