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Individual

MS. AYESHA SUSAN PILLAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1110 EDGEWOOD AVE W, JACKSONVILLE, FL 32208-6405
(904) 924-1550
(904) 924-1544
Mailing address
8335 FREEDOM CROSSING TRL, APT # 3006, JACKSONVILLE, FL 32256-1226
(904) 315-7038

Taxonomy

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

Other

Enumeration date
10/09/2007
Last updated
10/09/2007
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