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1285372052
JODIE LYNN BRAZELTON
LAKE WORTH, FL
NPI
1285372052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL 20779)
Enumeration Date
2022-05-23
Last Update Date
2022-05-23
Business Address
JODIE LYNN BRAZELTON LMHC
4530 SANDY COVE TER
LAKE WORTH, FL 33467-1112
Phone number: 919-537-2781
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Mailing Address
JODIE LYNN BRAZELTON LMHC
4530 SANDY COVE TER
LAKE WORTH, FL 33467-1112
Phone number: 919-537-2781
Copy
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