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1144678830
MAYELLY ALEXANDRA CASAL
LAKELAND, FL
NPI
1144678830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH12062)
Enumeration Date
2016-06-02
Last Update Date
2016-06-02
Business Address
-- MAYELLY ALEXANDRA CASAL LMHC
6700 S FLORIDA AVE STE 27
LAKELAND, FL 33813-3312
Phone number: 863-660-7915
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Mailing Address
-- MAYELLY ALEXANDRA CASAL LMHC
6700 S FLORIDA AVE STE 27
LAKELAND, FL 33813-3312
Phone number: 863-660-7915
Copy
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