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1255650370
JENNIFER DAWN DIVITA
JACKSONVILLE, FL
NPI
1255650370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2010-05-28
Last Update Date
2010-05-28
Business Address
JENNIFER DAWN DIVITA M.ED
1100 CESERY BLVD
JACKSONVILLE, FL 32211-5674
Phone number: 904-745-3070
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Mailing Address
JENNIFER DAWN DIVITA M.ED
1100 CESERY BLVD
JACKSONVILLE, FL 32211-5674
Phone number: 904-745-3070
Copy
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