Individual
LISA DESMARAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 SAINT TROPEZ CIR, ORLANDO, FL 32806-5590
(239) 494-2852
Mailing address
1216 SAINT TROPEZ CIR, ORLANDO, FL 32806-5590
(239) 494-2852
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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