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Individual

JENNIFER FROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2140 N DON WICKHAM DR, CLERMONT, FL 34711-1923
(352) 394-5922
(352) 315-7587
Mailing address
3599 CONROY RD, UNIT 911, ORLANDO, FL 32839-2464
(321) 287-6533
(352) 315-7587

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH 13761
FL

Other

Enumeration date
11/06/2015
Last updated
11/06/2015
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