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Individual

ALIVIA MICHELLE TERRIACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
650 AVENUE K NW, WINTER HAVEN, FL 33881-4032
(863) 294-7900
Mailing address
621 POINTER LN, LAKELAND, FL 33809-4631
(352) 502-5686

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18284
FL

Other

Enumeration date
08/12/2020
Last updated
08/12/2020
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