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Organization
TREE OF LIFE COUNSELING CENTER, LLC
Active
Organization
TREE OF LIFE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE P KEEFE-CECERE LCSW (MANAGER)
(352) 400-9118
Entity
Organization
Contact information
Practice address
8163 S FLORIDA AVE, FLORAL CITY, FL 34436-3101
(352) 400-9118
Mailing address
PO BOX 121, FLORAL CITY, FL 34436-0121
(352) 400-9118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004716700
—
FL
Enumeration date
02/04/2016
Last updated
03/30/2017
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