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Individual
ODELAISYS SACO
Active
Individual
ODELAISYS SACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15561
FL
101YP2500X
Professional Counselor
A14464
NC
Other
Enumeration date
12/21/2018
Last updated
04/25/2019
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