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1952335093
JUDITH H SOUTHARD
DELAND, FL
NPI
1952335093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 6000)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
Ms. JUDITH H SOUTHARD MA
814 E WISCONSIN AVE
DELAND, FL 32724-4557
Phone number: 386-848-1873
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Mailing Address
Ms. JUDITH H SOUTHARD MA
814 E WISCONSIN AVE
DELAND, FL 32724-4557
Phone number: 386-848-1873
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