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1427667104
KARISSA BOLDEN
PORT SAINT LUCIE, FL
NPI
1427667104
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Former Name
KARISSA DEMPSEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH15426)
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
KARISSA BOLDEN LMHC
5776 NW ZINNIA ST
PORT SAINT LUCIE, FL 34986-3501
Phone number: 949-702-0918
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Mailing Address
KARISSA BOLDEN LMHC
5776 NW ZINNIA ST
PORT SAINT LUCIE, FL 34986-3501
Phone number:
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