Most Relevant Information
Provider Data
| NPI Number: | 1003380981 |
| Provider Name: | GOUMAH MARIE CONDE RMFTI |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | IMT2661 |
Most Important Dates
| Enumeration Date: | 01/14/2019 |
| Last Updated: | 01/14/2019 |
Provider Practice Location
14401 OLD CUTLER RD
PALMETTO BAY
FL
331581722
Practice Location Phone/Fax
| Phone: | 7865737010 |
| Fax: |
Provider Mailing Location
15541 SW 112TH DR
MIAMI
FL
331964393
Provider Mailing Phone/Fax
| Phone: | 3059687307 |
| Fax: |