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1104297464
JENNIFER DE LA ROSA
FORT PIERCE, FL
NPI
1104297464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-13
Last Update Date
2015-10-13
Business Address
-- JENNIFER DE LA ROSA MA
2814 S US HIGHWAY 1 D4
FORT PIERCE, FL 34982-8120
Phone number: 772-489-4726
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Mailing Address
-- JENNIFER DE LA ROSA MA
2814 S US HIGHWAY 1 D4
FORT PIERCE, FL 34982-8120
Phone number:
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