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1568920148
THERESA BRANNIGAN
PORT SAINT LUCIE, FL
NPI
1568920148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL 9663)
Enumeration Date
2019-03-04
Last Update Date
2020-01-23
Business Address
THERESA BRANNIGAN
567 NW LAKE WHITNEY PL STE 105
PORT SAINT LUCIE, FL 34986-1629
Phone number: 772-337-8164
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Mailing Address
THERESA BRANNIGAN
2632 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34953-2845
Phone number:
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