SAMANTHA L CHARBONNEAU PA
Marriage and Family Therapists at Timberlachen Cir, Lake Mary, FL

License number
Florida MT2058
Category
Marriage and Family Therapists
Type
Marriage & Family Therapist
Owner
Name: MRS. SAMANTHA LYNN CHARBONNEAU LMFT
Title: MARRIAGE AND FAMILY THERAPIST
Phone: (407) 466-3467
Address
Address
101 Timberlachen Cir STE 201, Lake Mary, FL 32746
National Provider ID: 1356878128
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Samantha L. Charbonneau PA

Lake Mary, FL

Industry:
Health Practitioner's Office
Doing business as:
Samantha L Charbonneau PA
Registration:
Dec 14, 2005
Addresses:
101 Timberlachen Cir, Lake Mary, FL 32746
101 Tmbrlcken Cir, Lake Mary, FL 32746
State ID:
P05000162770
Business type:
Domestic for Profit Corporation
President, Owner, Physician Assistant, Psychologist:
Samantha L. Charbonneau (President, Owner, Physician Assistant, Psychologist)
Agent:
Ross Grossman, Pa

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