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1538638622
WHITNEY LAKE
DELTONA, FL
NPI
1538638622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH17405)
Enumeration Date
2018-11-19
Last Update Date
2018-11-19
Business Address
WHITNEY LAKE
517 DELTONA BLVD STE A
DELTONA, FL 32725-8016
Phone number: 386-259-5413
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Mailing Address
WHITNEY LAKE
245 GRACEY CV
GENEVA, FL 32732-8419
Phone number: 407-505-9744
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