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Individual

MRS. ALLYSON RAE VILLAFANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A

Contact information

Practice address
903 LAKESHORE DR, APT 311, LAKE PARK, FL 33403-2826
(631) 655-5362
Mailing address
903 LAKESHORE DRIVE, APT 311, LAKE PARK, FL 33403
(631) 655-5362

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8250
FL
Enumeration date
01/04/2011
Last updated
01/04/2011
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