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1013251180
ALICIA ANNE DIVICO
TAMPA, FL
NPI
1013251180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH11494)
Enumeration Date
2012-11-15
Last Update Date
2022-03-31
Business Address
ALICIA ANNE DIVICO LMHC
550 N REO ST STE 240
TAMPA, FL 33609-1062
Phone number: 813-435-3060
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Mailing Address
ALICIA ANNE DIVICO LMHC
4511 N HIMES AVE SUITE 200
TAMPA, FL 33614-7074
Phone number: 813-546-0585
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