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1346299054
DIANA SUE PACK
MELBOURNE, FL
NPI
1346299054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH10940)
Enumeration Date
2006-05-09
Last Update Date
2018-07-18
Business Address
Ms. DIANA SUE PACK MA, LMHC
1600 W EAU GALLIE BLVD STE 201D
MELBOURNE, FL 32935
Phone number: 321-604-9780
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Mailing Address
Ms. DIANA SUE PACK MA, LMHC
1600 W EAU GALLIE BLVD STE 201D
MELBOURNE, FL 32935-4149
Phone number: 321-604-9780
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