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1316450554
LAKESIDE COUNSELING LLC
BRADENTON, FL
NPI
1316450554
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Entity Type
Organization
Authorized Contact
PATRICK R. YEWELL
Owner/Manager
859-457-1254
Organization Subpart ?
No
Primary Taxonomy
261QM0801X
(Licence: FL 14719)
Enumeration Date
2017-11-09
Last Update Date
2017-11-09
Business Address
LAKESIDE COUNSELING LLC
3890 E STATE ROAD 64 UNIT 1
BRADENTON, FL 34208-9040
Phone number: 859-457-1254
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Mailing Address
LAKESIDE COUNSELING LLC
8847 STONE HARBOUR LOOP
BRADENTON, FL 34212-6324
Phone number: 859-457-1254
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