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Individual

ALYSSA LORA BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5220 LEE BLVD UNIT 6, LEHIGH ACRES, FL 33971-1038
(239) 932-2220
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/04/2017
Last updated
09/27/2021
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