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1235539529
CLARENCE RILEY
LAKE MARY, FL
NPI
1235539529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 12600)
Enumeration Date
2014-08-25
Last Update Date
2015-02-25
Business Address
Mr. CLARENCE RILEY
892 W CHARING CROSS CIR
LAKE MARY, FL 32746-6426
Phone number: 340-513-9178
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Mailing Address
Mr. CLARENCE RILEY
892 W CHARING CROSS CIR
LAKE MARY, FL 32746-6426
Phone number: 340-513-9178
Copy
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