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1295006914
CARRIE KYOKO LACAYO-BENTON
ST AUGUSTINE, FL
NPI
1295006914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 10201)
Enumeration Date
2012-01-26
Last Update Date
2014-12-04
Business Address
Mrs. CARRIE KYOKO LACAYO-BENTON LCSW
88 RIBERIA ST SUITE 150
ST AUGUSTINE, FL 32084-3300
Phone number: 904-201-9533
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Mailing Address
Mrs. CARRIE KYOKO LACAYO-BENTON LCSW
88 RIBERIA ST SUITE 150
ST AUGUSTINE, FL 32084-3300
Phone number: 904-201-9533
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