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Individual

DR. MARYCELY ALESSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1155 LOUISIANA AVE, SUITE 106, WINTER PARK, FL 32789-2341
(407) 629-4356
(407) 629-1812
Mailing address
1155 LOUISIANA AVE, SUITE 106, WINTER PARK, FL 32789-2341
(407) 629-4356
(407) 629-1812

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY 7566
FL
174400000X
Specialist
PSY002569
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009510794A
GA
Enumeration date
06/13/2005
Last updated
09/24/2007
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