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1871883074
ANGELA MICHELE MUDGE
LAKELAND, FL
NPI
1871883074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH10699)
Enumeration Date
2011-04-10
Last Update Date
2011-04-10
Business Address
Mrs. ANGELA MICHELE MUDGE MA, LMHC
5110 S FLORIDA AVE SUITE 105
LAKELAND, FL 33813-2512
Phone number: 863-838-4949
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Mailing Address
Mrs. ANGELA MICHELE MUDGE MA, LMHC
6002 N FORK CT
LAKELAND, FL 33809-1432
Phone number: 863-838-4949
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