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1548817331
THERESA L AWATHA
JACKSONVILLE, FL
NPI
1548817331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-08-26
Last Update Date
2019-08-26
Business Address
THERESA L AWATHA
1725 OAKHURST AVE
JACKSONVILLE, FL 32208-3200
Phone number: 904-765-0665
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Mailing Address
THERESA L AWATHA
1725 OAKHURST AVE
JACKSONVILLE, FL 32208-3200
Phone number: 904-765-0665
Copy
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