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1215252374
THERESA STANFORD
JACKSONVILLE, FL
NPI
1215252374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH3114)
Enumeration Date
2010-04-01
Last Update Date
2010-04-01
Business Address
Mrs. THERESA STANFORD LMHC
4943 BEACH BLVD
JACKSONVILLE, FL 32207-4802
Phone number: 904-396-9144
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Mailing Address
Mrs. THERESA STANFORD LMHC
712 MUSKOGEE LN
JACKSONVILLE, FL 32259-7961
Phone number:
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