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1245730746
LAKISHA RUNETTA ERWIN
VERO BEACH, FL
NPI
1245730746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH15499)
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
LAKISHA RUNETTA ERWIN LMHC
1910 82ND AVE STE 102
VERO BEACH, FL 32966-6991
Phone number: 772-492-9841
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Mailing Address
LAKISHA RUNETTA ERWIN LMHC
4330 33RD AVE
VERO BEACH, FL 32967-1687
Phone number: 772-633-5350
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