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Jed Shlackman, L.M.H.C

NPI 1962650143 · on the registry since 2008 · sole proprietor

Practice

Address
12965 Sw 112th Ave
Miami, FL 33176
Phone
(305) 259-0013
Fax
(305) 259-0013

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida