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1730903360
FATISHA RAYNELL HOLNESS
JACKSONVILLE, FL
NPI
1730903360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
103TC1900X Psychologist, Counseling
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
FATISHA RAYNELL HOLNESS
7855 ARGYLE FOREST BLVD STE 9101706
JACKSONVILLE, FL 32244-5596
Phone number: 904-263-5055
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Mailing Address
FATISHA RAYNELL HOLNESS
6645 S STATE ROAD 121
MACCLENNY, FL 32063-5439
Phone number: 646-897-4317
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