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1356741706
JACQUELINE ELISE MARIE PHILLIPS
TAMPA, FL
NPI
1356741706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH18252)
Enumeration Date
2014-09-03
Last Update Date
2022-12-07
Business Address
Mrs. JACQUELINE ELISE MARIE PHILLIPS LMHC
12353 HAMPTON PARK BLVD
TAMPA, FL 33624-4105
Phone number: 813-462-9115
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Mailing Address
Mrs. JACQUELINE ELISE MARIE PHILLIPS LMHC
12353 HAMPTON PARK BLVD
TAMPA, FL 33624-4105
Phone number: 813-462-9115
Copy
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