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APOLLONIA LATRICE TUCKER-LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4651 SALISBURY RD. STE 400, JACKSONVILLE, FL 32256
(321) 278-6791
Mailing address
4415C CONSTITUTION LN # 208, MARIANNA, FL 32448-4472
(321) 278-6791

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19037
FL

Other

Enumeration date
04/13/2021
Last updated
11/24/2023
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