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1336836279
LACEY AMANDA PRINE
TAMPA, FL
NPI
1336836279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: FL SS1375)
Enumeration Date
2023-04-20
Last Update Date
2023-04-20
Business Address
LACEY AMANDA PRINE
1802 N ARMENIA AVE
TAMPA, FL 33607-3406
Phone number: 813-444-8760
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Mailing Address
LACEY AMANDA PRINE
10863 BOYETTE RD
RIVERVIEW, FL 33569-8012
Phone number: 813-444-8760
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