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1306196456
RUBY KISH
JACKSONVILLE, FL
NPI
1306196456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL SW 10973)
Enumeration Date
2012-09-17
Last Update Date
2012-09-17
Business Address
-- RUBY KISH RN, LCSW
10175 FORTUNE PKWY 1106
JACKSONVILLE, FL 32256-6746
Phone number: 904-379-5928
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Mailing Address
-- RUBY KISH RN, LCSW
9343 ILLINOIS ST
JACKSONVILLE, FL 32218-6023
Phone number: 904-448-4402
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