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Individual

ANQUONETTE IRVING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
299 AZUCANA RD, SOUTH BAY, FL 33493-1116
(561) 463-9596
Mailing address
299 AZUCANA RD, SOUTH BAY, FL 33493-1116
(561) 463-9596

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC015906
GA
101YM0800X
Mental Health Counselor

Other

Enumeration date
06/14/2020
Last updated
08/15/2025
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