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1306460928
LAVELL WOODARD
PALM BAY, FL
NPI
1306460928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
Mr. LAVELL WOODARD
4206 PINEWOOD DR NE
PALM BAY, FL 32905
Phone number: 321-412-4775
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Mailing Address
Mr. LAVELL WOODARD
400 COUNTRY LANE DR
COCOA, FL 32926-5383
Phone number: 321-412-4775
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