LARISSA HUMISTON, LCSW

WINTER PARK, FL
NPI1962976647
Entity TypeOrganization
Authorized ContactLARISSA K HUMISTON
Owner
407-415-1175
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2019-01-16
Last Update Date2019-06-11
Business Address
LARISSA HUMISTON, LCSW
1414 GAY RD STE 205
WINTER PARK, FL 32789-2928
Phone number: 407-415-1175
Mailing Address
LARISSA HUMISTON, LCSW
1414 GAY RD STE 205
WINTER PARK, FL 32789-2928
Phone number: 407-415-1175
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