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1003399676
MIREILLE TAIME
NORTH FORT MYERS, FL
NPI
1003399676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 15686)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
Miss MIREILLE TAIME MSW LCSW
390 PONDELLA RD STE 9
NORTH FORT MYERS, FL 33903-4340
Phone number: 239-652-0260
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Mailing Address
Miss MIREILLE TAIME MSW LCSW
4112 12TH ST W
LEHIGH ACRES, FL 33971-5021
Phone number: 239-839-9399
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