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1184924649
STEPHANIE DAYLE DOUGLAS
LAKE CITY, FL
NPI
1184924649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH9866)
Enumeration Date
2010-10-29
Last Update Date
2010-10-29
Business Address
Mrs. STEPHANIE DAYLE DOUGLAS MA LMHC
197 SW SARAH CT
LAKE CITY, FL 32024-3852
Phone number: 386-623-5732
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Mailing Address
Mrs. STEPHANIE DAYLE DOUGLAS MA LMHC
197 SW SARAH CT
LAKE CITY, FL 32024-3852
Phone number: 386-623-5732
Copy
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