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1912442351
ESTHER MARIE LICEAGA
NORTH LAUDERDALE, FL
NPI
1912442351
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Former Name
ESTHER MARIE LICEAGA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-12-20
Last Update Date
2016-12-20
Business Address
-- ESTHER MARIE LICEAGA
8205 SW 11TH CT
NORTH LAUDERDALE, FL 33068-3418
Phone number: 787-231-6166
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Mailing Address
-- ESTHER MARIE LICEAGA
8205 SW 11TH CT
NORTH LAUDERDALE, FL 33068-3418
Phone number: 787-231-6166
Copy
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