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1962035907
JESSICA MARIE LAFONTAINE
WEST MELBOURNE, FL
NPI
1962035907
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Former Name
JESSICA MIKULAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-02-18
Last Update Date
2021-03-22
Business Address
JESSICA MARIE LAFONTAINE
630 S WICKHAM RD STE 107
WEST MELBOURNE, FL 32904-1429
Phone number: 321-608-0604
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Mailing Address
JESSICA MARIE LAFONTAINE
630 S WICKHAM RD STE 107
WEST MELBOURNE, FL 32904-1429
Phone number: 321-608-0604
Copy
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