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1134871817
BARBARA SOUTHARD
CRESTVIEW, FL
NPI
1134871817
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Former Name
BARBARA SOUTHARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: FL MH19987)
Enumeration Date
2022-01-24
Last Update Date
2022-01-24
Business Address
BARBARA SOUTHARD
105 W CYPRESS AVE
CRESTVIEW, FL 32536-2774
Phone number: 850-585-8538
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Mailing Address
BARBARA SOUTHARD
105 W CYPRESS AVE
CRESTVIEW, FL 32536-2774
Phone number: 850-585-8538
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