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1265179675
WENDY CARIDAD LAZA
ST PETERSBURG, FL
NPI
1265179675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH18587)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
WENDY CARIDAD LAZA
563 49TH ST S
ST PETERSBURG, FL 33707-2660
Phone number: 941-538-8181
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Mailing Address
WENDY CARIDAD LAZA
1311 11TH ST W
BRADENTON, FL 34205-7228
Phone number: 941-538-8181
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