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1548024508
KALLI PORTILLO
SARASOTA, FL
NPI
1548024508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH24576)
Enumeration Date
2024-02-09
Last Update Date
2024-02-09
Business Address
Mrs. KALLI PORTILLO
1487 2ND ST STE C5
SARASOTA, FL 34236-4911
Phone number: 941-799-6604
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Mailing Address
Mrs. KALLI PORTILLO
1487 2ND ST STE C5
SARASOTA, FL 34236-4911
Phone number: 941-799-6604
Copy
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