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1104550482
MAISY LEE PHRAVORAXAY
CLEARWATER, FL
NPI
1104550482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 29219)
Enumeration Date
2022-07-13
Last Update Date
2022-08-01
Business Address
MAISY LEE PHRAVORAXAY MSW
2188 58TH ST N
CLEARWATER, FL 33760-3112
Phone number: 727-327-7656
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Mailing Address
MAISY LEE PHRAVORAXAY MSW
PO BOX 10970
SAINT PETERSBURG, FL 33733-0970
Phone number: 727-327-7656
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