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1831655471
SUSAN MARIE COULTER
LAKELAND, FL
NPI
1831655471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL 13977)
Enumeration Date
2019-02-19
Last Update Date
2019-02-19
Business Address
SUSAN MARIE COULTER
924 OLD POLK CITY RD
LAKELAND, FL 33809-2335
Phone number: 863-937-5332
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Mailing Address
SUSAN MARIE COULTER
924 OLD POLK CITY RD
LAKELAND, FL 33809-2335
Phone number: 863-937-5332
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