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1811319338
STEPHEN CAPISTA
PONTE VEDRA BEACH, FL
NPI
1811319338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH22073)
Enumeration Date
2014-01-17
Last Update Date
2023-09-25
Business Address
STEPHEN CAPISTA
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082-3607
Phone number: 904-834-7581
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Mailing Address
STEPHEN CAPISTA
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082-3607
Phone number: 904-834-7581
Copy
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