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Organization
LIVING LIFE, LLC
Active
Organization
LIVING LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA D DUVALL M.S. (OWNER)
(352) 253-1100
Entity
Organization
Contact information
Practice address
2762 DORA AVENUE, SUITE 2762, TAVARES, FL 32778-4970
(352) 253-1100
(352) 253-6241
Mailing address
2762 DORA AVE, TAVARES, FL 32778-4970
(352) 253-1100
(352) 253-6241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH5873
FL
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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