Ken Lieberman, M.A

NPI #1043657869 in Casselberry, Florida

Provider Information

NPI Number: 1043657869
Entity Type: Individual
Name: Ken Lieberman, M.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: M.A
Enumeration Date: Jun 3, 2013
Last Updated: Jun 3, 2013

Practice Location

Address: 1100 POINTE NEWPORT TER APT 104
City: Casselberry
State: Florida
ZIP Code: 32707-7247
Phone: (772) 453-3967

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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