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1619547494
LISA KOSS
DAYTONA BEACH, FL
NPI
1619547494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH19399)
Enumeration Date
2021-06-25
Last Update Date
2021-12-02
Business Address
LISA KOSS
120 ACKLINS CIR APT 312
DAYTONA BEACH, FL 32119-9762
Phone number: 954-471-6075
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Mailing Address
LISA KOSS
120 ACKLINS CIR APT 312
DAYTONA BEACH, FL 32119-9762
Phone number: 954-471-6075
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