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1619002409
LISA BRANHAM
JACKSONVILLE, FL
NPI
1619002409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-22
Last Update Date
2008-09-08
Business Address
-- LISA BRANHAM
6316 SAN JUAN AVE
JACKSONVILLE, FL 32210-2831
Phone number: 904-783-2579
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Mailing Address
-- LISA BRANHAM
6316 SAN JUAN AVE
JACKSONVILLE, FL 32210-2831
Phone number: 904-783-2579
Copy
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