Individual
KENNETH FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 SE WENONA AVE, OCALA, FL 34471-2222
(844) 856-2585
Mailing address
19 SE WENONA AVE, OCALA, FL 34471-2222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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