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1023894649
JENESIS VASQUEZ
FORT MYERS, FL
NPI
1023894649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH22633)
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
JENESIS VASQUEZ
12553 NEW BRITTANY BLVD STE 3217
FORT MYERS, FL 33907-3625
Phone number: 347-360-3472
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Mailing Address
JENESIS VASQUEZ
12553 NEW BRITTANY BLVD STE 3217
FORT MYERS, FL 33907-3625
Phone number: 347-360-3472
Copy
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