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1285301820
LATOSHA FACYSON
ST PETERSBURG, FL
NPI
1285301820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH19148)
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
LATOSHA FACYSON
2444 1/2 37TH ST S
ST PETERSBURG, FL 33711-3511
Phone number: 727-358-3013
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Mailing Address
LATOSHA FACYSON
PO BOX 531753
ST PETERSBURG, FL 33747-1753
Phone number: 727-358-3013
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