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1174864870
KIM-MY LY LAC
ORLANDO, FL
NPI
1174864870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL ISW7767)
Enumeration Date
2013-03-06
Last Update Date
2014-03-19
Business Address
-- KIM-MY LY LAC MSW
11875 HIGH TECH AVE SUITE 200
ORLANDO, FL 32817-1400
Phone number: 407-273-2485
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Mailing Address
-- KIM-MY LY LAC MSW
8103 CRUSHED PEPPER AVE
ORLANDO, FL 32817-2319
Phone number: 352-359-6137
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