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1427183045
HENRY KENNETH MCCULLOUGH
DELAND, FL
NPI
1427183045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 2762)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
-- HENRY KENNETH MCCULLOUGH counselor
442 E NEW YORK AVE SUITE 10
DELAND, FL 32724-5553
Phone number: 386-738-1085
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Mailing Address
-- HENRY KENNETH MCCULLOUGH counselor
442 E NEW YORK AVE SUITE 10
DELAND, FL 32724-5553
Phone number: 386-738-1085
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