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Organization

INNER PEACE RESOLUTION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FELICITA ORTIZ LCSW (PSYCHOTHERAPIST)
(239) 785-8766
Entity
Organization

Contact information

Practice address
6777 WOLF RUN LN, N FORT MYERS, FL 33917-3313
(239) 785-8766
(231) 445-8835
Mailing address
5245 RAMSEY WAY, SUITE #4, FORT MYERS, FL 33907-2124
(239) 785-8766
(231) 445-8835

Taxonomy

Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
SW7529
FL

Other

Enumeration date
07/26/2016
Last updated
07/26/2016
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