Tara Marie Kellogg

NPI 1023267416 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1023267416
Gender Female
Enumeration Date 09/10/2008
Last Updated 09/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3521 W BROWARD BLVD
3RD FLOOR
FT LAUDERDALE FL, 33312-1048, US
Phone (954) 587-1008
Fax (954) 587-0080
Business Location
3521 W BROWARD BLVD
3RD FLOOR
FT LAUDERDALE FL, 33312-1048, US
Phone (954) 587-1008
Fax (954) 587-0080
Toxanomy
Taxonomy Code 106H00000X
License State Florida
License Number MT2003
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According to our database, Ms. Tara Marie Kellogg NPI is 1023267416, taxonomy code is 106H00000X and license number is MT2003, license state is located at Florida. Tara Marie Kellogg physically located at 3521 W Broward Blvd, Ft Lauderdale FL, 33312-1048. NPI Number Tara Marie Kellogg has the Individual type.

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1023267416 NPI number is provided on an as is basis without warranty of any kind. 1023267416 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Marie Kellogg are for informational purposes only.