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1811527880
SHAKIEMA S.F. RAPHAEL
LAKE WORTH, FL
NPI
1811527880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH17689)
Enumeration Date
2020-01-18
Last Update Date
2020-01-18
Business Address
SHAKIEMA S.F. RAPHAEL
4905 LANTANA RD
LAKE WORTH, FL 33463-6915
Phone number: 561-790-8072
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Mailing Address
SHAKIEMA S.F. RAPHAEL
1402 SEMINOLE PALMS DR
LAKE WORTH, FL 33463-4224
Phone number: 561-413-8169
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