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1598891749
LISA VITALE STUBBS
PORT ST LUCIE, FL
NPI
1598891749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH6999)
Enumeration Date
2007-02-24
Last Update Date
2007-07-08
Business Address
DR. LISA VITALE STUBBS ED.D., LMHC
2886 SE CALVIN ST
PORT ST LUCIE, FL 34952-5808
Phone number: 772-398-2317
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Mailing Address
DR. LISA VITALE STUBBS ED.D., LMHC
2886 SE CALVIN ST
PORT ST LUCIE, FL 34952-5808
Phone number: 772-398-2317
Copy
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