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Organization
KASSANDRA MCCUNE ENTERPRISES, INC
Active
Organization
KASSANDRA MCCUNE ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASSANDRA SHUGARS MCCUNE (PRESIDENT)
(904) 392-9188
Entity
Organization
Contact information
Practice address
88 RIBERIA ST, SUITE 150, SAINT AUGUSTINE, FL 32084-3300
(904) 392-9188
Mailing address
38 GRANT ST, SAINT AUGUSTINE, FL 32084-2746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10498
FL
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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