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1720650286
SAMUEL KOOLHOVEN-MOORE
SARASOTA, FL
NPI
1720650286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH18940)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
Mr. SAMUEL KOOLHOVEN-MOORE
1750 17TH ST STE J2
SARASOTA, FL 34234-8690
Phone number: 941-552-2075
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Mailing Address
Mr. SAMUEL KOOLHOVEN-MOORE
8429 CYPRESS LAKE CIR
SARASOTA, FL 34243-2915
Phone number: 707-703-0845
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