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1528631777
DESIREE FOUSE
MAITLAND, FL
NPI
1528631777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 11341)
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
DESIREE FOUSE
1650 N PARK AVE
MAITLAND, FL 32751-6570
Phone number: 386-383-6545
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Mailing Address
DESIREE FOUSE
1650 N PARK AVE
MAITLAND, FL 32751-6570
Phone number:
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