Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 670354 | FL |
NPI | 1023789708 |
---|---|
Provider Name | Monica Joyce Mclemore |
First Address | Plantation, FL 33317-4205 |
Second Address | Plantation, FL 33317-4205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2021 |
Last Update Date | 23/09/2021 |