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Individual

BETTINA PHAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
308 NW ALANA AVE, PORT ST LUCIE, FL 34986-2609
(772) 626-4946
Mailing address
308 NW ALANA AVE, PORT ST LUCIE, FL 34986-2609
(772) 626-4946

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/19/2012
Last updated
04/19/2012
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