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1972104420
LATINO KIDS AND FAMILY MENTAL HEALTH LLC
RIVERVIEW, FL
NPI
1972104420
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Entity Type
Organization
Authorized Contact
FERMINA L ROMAN
Owner
787-452-7173
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-11-02
Last Update Date
2020-11-04
Business Address
LATINO KIDS AND FAMILY MENTAL HEALTH LLC
11327 VILLAGE BROOK DRIVE
RIVERVIEW, FL 33579
Phone number: 813-278-7644
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Mailing Address
LATINO KIDS AND FAMILY MENTAL HEALTH LLC
11327 VILLAGE BROOK DR
RIVERVIEW, FL 33579-7191
Phone number: 787-452-7173
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