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1629196779
LAKENYA HOLMES MCCALLISTER
COCOA, FL
NPI
1629196779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-27
Last Update Date
2018-03-17
Business Address
LAKENYA HOLMES MCCALLISTER MSW, PLCSW
640 BREVARD AVE SUITE 104
COCOA, FL 32792-2541
Phone number: 321-514-0371
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Mailing Address
LAKENYA HOLMES MCCALLISTER MSW, PLCSW
4215 KELLYBROOK DR
CONCORD, NC 28025-7100
Phone number: 225-733-0498
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