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1821750258
AUTUMN BECKTON
LAKELAND, FL
NPI
1821750258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH21238)
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
AUTUMN BECKTON
715 N LAKE AVE
LAKELAND, FL 33801-1908
Phone number: 863-519-0575
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Mailing Address
AUTUMN BECKTON
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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