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1780245480
SUSAN JOANNA PATSICOSTAS
DUNNELLON, FL
NPI
1780245480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH6183)
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
MS. SUSAN JOANNA PATSICOSTAS LMHC
20540 E PENNSYLVANIA AVE
DUNNELLON, FL 34432-6057
Phone number: 352-465-9009
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Mailing Address
MS. SUSAN JOANNA PATSICOSTAS LMHC
20540 E PENNSYLVANIA AVE
DUNNELLON, FL 34432-6057
Phone number: 352-465-9009
Copy
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