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1962741140
LATOY MACK
ST PETERSBURG, FL
NPI
1962741140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH9624)
Enumeration Date
2013-02-07
Last Update Date
2013-02-07
Business Address
Ms. LATOY MACK
2510 1ST AVE S
ST PETERSBURG, FL 33712-1106
Phone number: 727-289-1164
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Mailing Address
Ms. LATOY MACK
2510 1ST AVE S
ST PETERSBURG, FL 33712-1106
Phone number: 727-289-1164
Copy
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