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1851752992
INGRID PINTO DE OTAZU
MELBOURNE, FL
NPI
1851752992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH19704)
Enumeration Date
2016-03-17
Last Update Date
2021-11-16
Business Address
INGRID PINTO DE OTAZU LMHC
751 ASHBURY AVE
MELBOURNE, FL 32940
Phone number: 321-960-1015
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Mailing Address
INGRID PINTO DE OTAZU LMHC
751 ASHBURY AVE
MELBOURNE, FL 32940
Phone number: 321-960-1015
Copy
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