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1578613402
WILLIE RALPH LOTT
JACKSONVILLE, FL
NPI
1578613402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 6555)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
-- WILLIE RALPH LOTT LMHC
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207-8030
Phone number: 904-448-4700
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Mailing Address
-- WILLIE RALPH LOTT LMHC
1045 CARLOTTA RD E
JACKSONVILLE, FL 32211-6203
Phone number: 904-726-0677
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