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1255510707
WAYLON A CARLISLE
BRANDON, FL
NPI
1255510707
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Other Name
WAYLON A CARLISLE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL CPY0013010194)
Enumeration Date
2007-11-01
Last Update Date
2007-11-01
Business Address
Dr. WAYLON A CARLISLE Ph.D.
2302 BELL SHOALS RD
BRANDON, FL 33511
Phone number: 813-684-3720
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Mailing Address
Dr. WAYLON A CARLISLE Ph.D.
13309 WALDEN SHEFFIELD RD
DOVER, FL 33527-5547
Phone number: 813-684-3397
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