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Individual

MRS. ARLENE MANCILLA COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RMHCI

Contact information

Practice address
3270 SUNTREE BLVD STE 103A, MELBOURNE, FL 32940-7540
(321) 757-4015
Mailing address
3270 SUNTREE BLVD STE 103A, MELBOURNE, FL 32940-7540
(321) 757-4015

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH23596
FL

Other

Enumeration date
02/10/2023
Last updated
02/10/2023
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