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1023365111
KATIE JENDRISAK
DAYTONA BEACH, FL
NPI
1023365111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH 8503)
Enumeration Date
2012-08-08
Last Update Date
2012-08-08
Business Address
-- KATIE JENDRISAK Registered MHC Inter
160 N BEACH ST
DAYTONA BEACH, FL 32114-3314
Phone number: 386-944-4707
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Mailing Address
-- KATIE JENDRISAK Registered MHC Inter
160 N BEACH ST
DAYTONA BEACH, FL 32114-3314
Phone number:
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