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1508412313
EGUENEL LOUIS
PORT ST LUCIE, FL
NPI
1508412313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: FL MH15317)
Enumeration Date
2019-08-16
Last Update Date
2019-08-16
Business Address
Mr. EGUENEL LOUIS LMHC
3354 SW MARTIN ST
PORT ST LUCIE, FL 34953-4915
Phone number: 561-670-8825
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Mailing Address
Mr. EGUENEL LOUIS LMHC
3354 SW MARTIN ST
PORT ST LUCIE, FL 34953-4915
Phone number: 561-670-8825
Copy
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