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1902486863
APOLLONIA LATRICE TUCKER-LEWIS
JACKSONVILLE, FL
NPI
1902486863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH19037)
Enumeration Date
2021-04-13
Last Update Date
2023-11-24
Business Address
APOLLONIA LATRICE TUCKER-LEWIS
4651 SALISBURY RD. STE 400
JACKSONVILLE, FL 32256
Phone number: 321-278-6791
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Mailing Address
APOLLONIA LATRICE TUCKER-LEWIS
4415C CONSTITUTION LN # 208
MARIANNA, FL 32448-4472
Phone number: 321-278-6791
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