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1770253965
LARISE MOODY ALLSOP
KISSIMMEE, FL
NPI
1770253965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-09-17
Last Update Date
2021-09-17
Business Address
LARISE MOODY ALLSOP
2980 PARK POND WAY
KISSIMMEE, FL 34741-7660
Phone number: 407-930-4711
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Mailing Address
LARISE MOODY ALLSOP
3393 RALEIGH DR
WINTER HAVEN, FL 33884-5219
Phone number: 863-229-5541
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