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1417257460
VENATORIA ELLEN ASBURY-STAPLE
PALM BAY, FL
NPI
1417257460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
-- VENATORIA ELLEN ASBURY-STAPLE LMHC
907 COQUINA ST SE
PALM BAY, FL 32909-4518
Phone number: 321-704-7493
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Mailing Address
-- VENATORIA ELLEN ASBURY-STAPLE LMHC
907 COQUINA ST SE
PALM BAY, FL 32909-4518
Phone number: 321-704-7493
Copy
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