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1598158925
DESIRAEE J THOMAS
PORT ST LUCIE, FL
NPI
1598158925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-03-10
Last Update Date
2019-07-30
Business Address
DESIRAEE J THOMAS
567 NW LAKE WHITNEY PL
PORT ST LUCIE, FL 34986-1629
Phone number: 772-337-8164
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Mailing Address
DESIRAEE J THOMAS
5741 STERLING LAKE DR
FORT PIERCE, FL 34951-3120
Phone number: 772-834-1094
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