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1487060042
JENNIFER HUMMER KEOVONGSA
BRANDON, FL
NPI
1487060042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH12437)
Enumeration Date
2014-07-03
Last Update Date
2014-07-03
Business Address
-- JENNIFER HUMMER KEOVONGSA L.M.H.C.
509 WILBUR ST
BRANDON, FL 33511-5323
Phone number: 813-727-6658
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Mailing Address
-- JENNIFER HUMMER KEOVONGSA L.M.H.C.
509 WILBUR ST
BRANDON, FL 33511-5323
Phone number: 813-727-6658
Copy
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