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1811224454
KONDOOR VERGHESE ABRAHAM
DAVIE, FL
NPI
1811224454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH1215)
Enumeration Date
2009-11-03
Last Update Date
2009-11-03
Business Address
Dr. KONDOOR VERGHESE ABRAHAM Psy.D., LMHC
1750 SW 116 AVE.,
DAVIE, FL 33325
Phone number: 954-916-1200
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Mailing Address
Dr. KONDOOR VERGHESE ABRAHAM Psy.D., LMHC
1750 SW 116TH AVE
DAVIE, FL 33325-4742
Phone number: 954-916-1200
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