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1700310513
SHARDAE TRIPP
PORT SAINT LUCIE, FL
NPI
1700310513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH16947)
Enumeration Date
2017-04-18
Last Update Date
2019-12-18
Business Address
SHARDAE TRIPP M.S., LMHC
5590 NW PINE TRAIL CIR
PORT SAINT LUCIE, FL 34983-5349
Phone number: 772-418-7797
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Mailing Address
SHARDAE TRIPP M.S., LMHC
5590 NW PINE TRAIL CIR
PORT SAINT LUCIE, FL 34983-5349
Phone number: 772-418-7797
Copy
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