Individual
MRS. ALICE MARIE LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1990 MAIN ST STE 750, SARASOTA, FL 34236-8000
(941) 724-4784
Mailing address
PO BOX 1045, DYERSBURG, TN 38025-1045
(941) 724-4784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19735
FL
Other
Enumeration date
10/25/2022
Last updated
06/16/2024
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