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Individual

MRS. LORI MICHELLE BLISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.S.W.

Contact information

Practice address
7855 BRIDGESTONE DR, ORLANDO, FL 32835-5376
(732) 567-1983
Mailing address
7855 BRIDGESTONE DR, ORLANDO, FL 32835-5376
(732) 567-1983

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
44SL05360100
FL

Other

Enumeration date
03/23/2011
Last updated
03/23/2011
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