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Organization
MUSTARD SEED COUNSELING LLC
Active
Organization
MUSTARD SEED COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JARA LCSW (OWNER)
(929) 245-2704
Entity
Organization
Contact information
Practice address
13194 US HIGHWAY 301 S STE 210, RIVERVIEW, FL 33578-7410
(929) 245-2704
Mailing address
13194 US HIGHWAY 301 S STE 210, RIVERVIEW, FL 33578-7410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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