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Individual

ANNIE SEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
115 COLLEGE DR, ORANGE PARK, FL 32065-9035
(904) 602-9802
(904) 621-5113
Mailing address
PO BOX 65190, ORANGE PARK, FL 32065-0004
(904) 602-9802
(904) 621-5113

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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