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1497113187
LAVONTE SHANESE CUMMINGS
ST PETERSBURG, FL
NPI
1497113187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL IMH14429)
Enumeration Date
2016-02-09
Last Update Date
2016-02-09
Business Address
MS. LAVONTE SHANESE CUMMINGS MS
391 112TH AVE N APT 1111
ST PETERSBURG, FL 33716-3297
Phone number: 352-207-5205
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Mailing Address
MS. LAVONTE SHANESE CUMMINGS MS
391 112TH AVE N APT 1111
ST PETERSBURG, FL 33716-3297
Phone number: 352-207-5205
Copy
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