LARISSA K HUMISTON

WINTER PARK, FL
NPI1538478714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW9576)
Enumeration Date2010-10-05
Last Update Date2013-12-05
Business Address
-- LARISSA K HUMISTON MSW, LCSW
1414 GAY RD SUITE 205
WINTER PARK, FL 32789-2928
Phone number: 407-415-1175
Mailing Address
-- LARISSA K HUMISTON MSW, LCSW
456 GALLBERRY ST
ALTAMONTE SPRINGS, FL 32714-2499
Phone number: 407-415-1175
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