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1730954843
SUSAN LASSITER
JACKSONVILLE, FL
NPI
1730954843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH11084)
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
SUSAN LASSITER
2528 OAK ST
JACKSONVILLE, FL 32204-4504
Phone number: 954-632-9998
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Mailing Address
SUSAN LASSITER
2528 OAK ST
JACKSONVILLE, FL 32204-4504
Phone number: 954-632-9998
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