Individual
TERESA LYNNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 MARAVILLA LN, FORT MYERS, FL 33901-7221
(352) 601-8118
(239) 332-4977
Mailing address
2180 MARAVILLA LN, FORT MYERS, FL 33901-7221
(352) 601-8118
(239) 332-4977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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