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1760720510
DESIRAE KELISHA OFORI
LUTZ, FL
NPI
1760720510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH9650)
Enumeration Date
2013-01-29
Last Update Date
2013-01-29
Business Address
Mrs. DESIRAE KELISHA OFORI
1515 MICHELIN CT
LUTZ, FL 33549-7533
Phone number: 813-949-8946
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Mailing Address
Mrs. DESIRAE KELISHA OFORI
617 SANDSTONE ST
LAKELAND, FL 33809-0955
Phone number: 863-513-6021
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