Individual
MS. NISY ITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.H.S, CRC
Contact information
Practice address
315 N LAKEMONT AVE, SUITE B, WINTER PARK, FL 32792-3205
(407) 830-6412
(407) 830-8413
Mailing address
453 BRIDGE CREEK BLVD, OCOEE, FL 34761-4726
(321) 217-3641
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00111018
FL
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
About Stedi
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