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1548894991
JALYSSA CARDELL
FORT PIERCE, FL
NPI
1548894991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL IMH18798)
Enumeration Date
2020-02-25
Last Update Date
2020-02-25
Business Address
JALYSSA CARDELL
2222 COLONIAL RD
FORT PIERCE, FL 34950-5309
Phone number: 772-489-4726
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Mailing Address
JALYSSA CARDELL
2222 COLONIAL RD
FORT PIERCE, FL 34950-5309
Phone number: 772-489-4726
Copy
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