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1841045440
ALEXIS M DIAZ
LONGWOOD, FL
NPI
1841045440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH22075)
Enumeration Date
2024-04-18
Last Update Date
2024-04-18
Business Address
ALEXIS M DIAZ
781 CIARA CREEK CV STE 1011
LONGWOOD, FL 32750-4662
Phone number: 407-699-5824
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Mailing Address
ALEXIS M DIAZ
469 BLACK KNIGHT WAY
LONGWOOD, FL 32779-4467
Phone number: 786-316-7952
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