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1568585990
SUSAN TERESA BACOT
JACKSONVILLE, FL
NPI
1568585990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH5410)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Ms. SUSAN TERESA BACOT LMHC
5251 EMERSON ST
JACKSONVILLE, FL 32207-4932
Phone number: 904-399-0324
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Mailing Address
Ms. SUSAN TERESA BACOT LMHC
2882 LANTANA LAKES DR W
JACKSONVILLE, FL 32246-1828
Phone number: 904-997-0698
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