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1053959023
LYNN STEPHANIE JACKSON DORMAN
ST PETERSBURG, FL
NPI
1053959023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH17541)
Enumeration Date
2019-12-20
Last Update Date
2019-12-20
Business Address
LYNN STEPHANIE JACKSON DORMAN LMHC
1700 PARK ST N STE 110
ST PETERSBURG, FL 33710-4300
Phone number: 813-644-2747
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Mailing Address
LYNN STEPHANIE JACKSON DORMAN LMHC
2407 W CONLEY AVE
TAMPA, FL 33611-4762
Phone number: 404-293-0395
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