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1578704078
GRACIELA RUTH PULLIAM
ORANGE CITY, FL
NPI
1578704078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH9913)
Enumeration Date
2009-03-12
Last Update Date
2023-06-14
Business Address
GRACIELA RUTH PULLIAM MA LMHC
2425 S VOLUSIA AVE STE B4
ORANGE CITY, FL 32763-7625
Phone number: 321-578-7488
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Mailing Address
GRACIELA RUTH PULLIAM MA LMHC
3467 HEATH DR
DELTONA, FL 32725-3098
Phone number: 321-578-7488
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