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1730528381
MARY LOUISE PRENDERGAST
JACKSONVILLE, FL
NPI
1730528381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 10308)
Enumeration Date
2013-06-17
Last Update Date
2023-11-15
Business Address
MARY LOUISE PRENDERGAST L.M.H.C.
836 PRUDENTIAL DR STE 1006
JACKSONVILLE, FL 32207-8337
Phone number: 904-376-3800
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Mailing Address
MARY LOUISE PRENDERGAST L.M.H.C.
PO BOX 748519
ATLANTA, GA 30374-8519
Phone number: 904-376-3800
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