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1407478613
MARA'S LIGHTHOUSE COUNSELING CENTER, LLC
JACKSONVILLE, FL
NPI
1407478613
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Entity Type
Organization
Authorized Contact
SHAMARA D GIBSON
Clinical Social Worker
904-990-8105
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-05-11
Last Update Date
2020-06-16
Business Address
MARA'S LIGHTHOUSE COUNSELING CENTER, LLC
6015 MORROW ST E STE 114
JACKSONVILLE, FL 32217-2125
Phone number: 904-990-8105
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Mailing Address
MARA'S LIGHTHOUSE COUNSELING CENTER, LLC
6015 MORROW ST E STE 114
JACKSONVILLE, FL 32217-2125
Phone number: 904-990-8105
Copy
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