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1952503021
SHANTALA MARIE BOSS
LAKE MARY, FL
NPI
1952503021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH8920)
Enumeration Date
2007-06-01
Last Update Date
2013-08-01
Business Address
Mrs. SHANTALA MARIE BOSS LMHC
101 TIMBERLACHEN CIRCLE SUITE 101
LAKE MARY, FL 32746
Phone number: 407-308-0122
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Mailing Address
Mrs. SHANTALA MARIE BOSS LMHC
1255 SAINT ALBANS LOOP
LAKE MARY, FL 32746-1979
Phone number: 407-271-9552
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