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1679023618
CARLA FUQUAY
KEY WEST, FL
NPI
1679023618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL IMH120007)
Enumeration Date
2016-10-13
Last Update Date
2016-10-13
Business Address
CARLA FUQUAY IMHC
1663 DUNLAP DR
KEY WEST, FL 33040-4400
Phone number: 561-371-5171
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Mailing Address
CARLA FUQUAY IMHC
2504 PATTERSON AVE
KEY WEST, FL 33040-3919
Phone number: 561-371-5171
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