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Individual

ANACAROLINA VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, MED, LMHC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15912
FL
101YP2500X
Professional Counselor
Primary
MH15912
FL
103K00000X
Behavior Analyst
MH15912
FL

Other

Enumeration date
06/14/2017
Last updated
07/09/2020
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