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1205158979
WANDA GAYLE AUSTIN
LARGO, FL
NPI
1205158979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH10105)
Enumeration Date
2010-02-23
Last Update Date
2010-03-29
Business Address
Ms. WANDA GAYLE AUSTIN LMHC, NCC
11599 SEMINOLE BLVD
LARGO, FL 33778-3205
Phone number: 727-418-9296
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Mailing Address
Ms. WANDA GAYLE AUSTIN LMHC, NCC
1206 CARA DR
LARGO, FL 33771-1027
Phone number: 727-586-4741
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