SUSAN ANTICO,MS,LMHC,PA
Medical Practice at Plainview Cir, Boca Raton, FL

License number
Florida MH5649
Category
Medical Practice
Type
Specialist
Owner
Name: MS. SUSAN ANTICO LMHC
Title: PRESIDENT
Phone: (561) 866-6897
Address
Address
10676 Plainview Cir, Boca Raton, FL 33498
National Provider ID: 1750725156
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUSAN ANTICO, M.S., LMHC, PA

10676 Plainview Cir, Boca Raton, FL 33498

Industry:
Business Services at Non-Commercial Site
Registration:
Jun 26, 2001
State ID:
P01000063642
Business type:
Florida Profit Corporation
Director:
Susan Antico (Director), 10676 Plainview Cir, Boca Raton, FL 33498 (Physical)
Agent:
Antico, Susan,10676 Plainview Cir, Boca Raton, FL 33498 (Physical)
EIN:
65-1115875

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