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1255885497
LAVONNA GREGORY
BRADENTON, FL
NPI
1255885497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH 13427)
Enumeration Date
2016-08-04
Last Update Date
2016-09-08
Business Address
-- LAVONNA GREGORY
9030 58TH DR E STE 103
BRADENTON, FL 34202-6108
Phone number: 941-567-6207
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Mailing Address
-- LAVONNA GREGORY
9030 58TH DR E STE 103
BRADENTON, FL 34202-6108
Phone number: 941-567-6207
Copy
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