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1063752681
SUSAN CLAY NUCKOLS
ORLANDO, FL
NPI
1063752681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL 404)
Enumeration Date
2013-02-19
Last Update Date
2013-02-19
Business Address
Mrs. SUSAN CLAY NUCKOLS LMFT
100 W COLUMBIA ST 100 W. COLUMBIA ST.
ORLANDO, FL 32806-1006
Phone number: 407-245-0014
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Mailing Address
Mrs. SUSAN CLAY NUCKOLS LMFT
100 W COLUMBIA ST
ORLANDO, FL 32806-1006
Phone number: 407-245-0014
Copy
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