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1811554546
PROVIDENCEPASS, LLC
KISSIMMEE, FL
NPI
1811554546
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Entity Type
Organization
Authorized Contact
JENNIFER DEL GIUDICE
Executive Director
844-244-2840
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
PROVIDENCEPASS, LLC
741 FRONT ST STE 210
KISSIMMEE, FL 34747-4992
Phone number: 844-244-2840
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Mailing Address
PROVIDENCEPASS, LLC
741 FRONT ST STE 210
KISSIMMEE, FL 34747-4992
Phone number: 844-244-2840
Copy
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