Individual
MANDY LAROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10746 SE 31ST PL, MORRISTON, FL 32668-3187
(352) 486-6205
Mailing address
10746 SE 31ST PL, MORRISTON, FL 32668-3187
(352) 486-6205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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