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Individual

AUGUSTINE LOUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
(561) 712-8070
Mailing address
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
(561) 712-8070

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022845400
FL
Enumeration date
01/12/2017
Last updated
06/11/2021
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