MIRELLA CARLA EZETA

FT LAUDERDALE, FL
NPI1285941690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  9210)
Enumeration Date2010-09-07
Last Update Date2010-09-08
Business Address
Ms. MIRELLA CARLA EZETA Psy.D
3521 W BROWARD BLVD
FT LAUDERDALE, FL 33312-1048
Phone number: 954-587-1008
Mailing Address
Ms. MIRELLA CARLA EZETA Psy.D
3521 W BROWARD BLVD
FT LAUDERDALE, FL 33312-1048
Phone number: 954-587-1008
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