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1124513106
KELLY ELIZABETH DESOUSA
JACKSONVILLE, FL
NPI
1124513106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
221700000X Art Therapist
(Licence: FL 15-056)
Enumeration Date
2018-06-22
Last Update Date
2020-11-17
Business Address
KELLY ELIZABETH DESOUSA MS, ATR
4282 HERSCHEL ST
JACKSONVILLE, FL 32210-2247
Phone number: 094-447-7797
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Mailing Address
KELLY ELIZABETH DESOUSA MS, ATR
4282 HERSCHEL ST
JACKSONVILLE, FL 32210-2247
Phone number: 094-447-7797
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