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1043960073
JACOB C CROUCH, III
NEW PORT RICHEY, FL
NPI
1043960073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: FL MH3311)
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
JACOB C CROUCH, III LMHC
7448 CULVER LANE
NEW PORT RICHEY, FL 34655-3433
Phone number: 727-858-9183
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Mailing Address
JACOB C CROUCH, III LMHC
7448 CULVER LANE
NEW PORT RICHEY, FL 34655-3433
Phone number: 727-858-9183
Copy
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