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1528305620
ROSA VILLAVICENCIO
BARTOW, FL
NPI
1528305620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH18767)
Enumeration Date
2013-01-09
Last Update Date
2019-12-12
Business Address
ROSA VILLAVICENCIO RMHCI
1239 E MAIN ST
BARTOW, FL 33830-5058
Phone number: 863-519-0575
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Mailing Address
ROSA VILLAVICENCIO RMHCI
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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