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1013404946
KATHLEEN MARY DELUCIA
ST AUGUSTINE, FL
NPI
1013404946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: FL 5478)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
KATHLEEN MARY DELUCIA CAP
3574 US HIGHWAY 1 S STE 101-104
ST AUGUSTINE, FL 32086-6466
Phone number: 904-217-7161
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Mailing Address
KATHLEEN MARY DELUCIA CAP
3574 US HIGHWAY 1 S STE 101-104
ST AUGUSTINE, FL 32086-6466
Phone number: 904-217-7161
Copy
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