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1740645951
LAURA M MANASSA
ORANGE PARK, FL
NPI
1740645951
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Former Name
LAURA ROGERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH5784)
Enumeration Date
2015-12-15
Last Update Date
2015-12-15
Business Address
-- LAURA M MANASSA MACP
1540 KINGSLEY AVE
ORANGE PARK, FL 32073-4511
Phone number: 904-239-3677
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Mailing Address
-- LAURA M MANASSA MACP
PO BOX 54723
JACKSONVILLE, FL 32245-4723
Phone number: 904-239-3677
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