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1265116370
LARISA VIVOLO
JUPITER, FL
NPI
1265116370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 22146)
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
-- LARISA VIVOLO LMHC
4425 MILITARY TRL
JUPITER, FL 33458-4819
Phone number: 561-747-2775
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Mailing Address
-- LARISA VIVOLO LMHC
335 CHARROUX DR
PALM BEACH GARDENS, FL 33410-1615
Phone number: 516-661-5366
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