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1003381096
CARMEN LYDIA DEL VALLE-IZURIETA
JACKSONVILLE, FL
NPI
1003381096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH16334)
Enumeration Date
2018-10-05
Last Update Date
2018-10-24
Business Address
Mrs. CARMEN LYDIA DEL VALLE-IZURIETA LMHC
2950 HALCYON LN STE 701
JACKSONVILLE, FL 32223-6692
Phone number: 904-923-3031
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Mailing Address
Mrs. CARMEN LYDIA DEL VALLE-IZURIETA LMHC
9838 OLD BAYMEADOWS RD # 182
JACKSONVILLE, FL 32256-8101
Phone number: 904-923-3031
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