MS. Tara Marie Kellogg

NPI #1023267416 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1023267416
Entity Type: Individual
Name: MS. Tara Marie Kellogg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Sep 10, 2008
Last Updated: Sep 10, 2008

Practice Location

Address: 3521 W BROWARD BLVD
Address 2: 3RD FLOOR
City: Ft Lauderdale
State: Florida
ZIP Code: 33312-1048
Phone: (954) 587-1008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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