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1043360951
SANTIAGO FALLON
LONGWOOD, FL
NPI
1043360951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH7320)
Enumeration Date
2007-01-11
Last Update Date
2011-11-03
Business Address
Mr. SANTIAGO FALLON LMHC
1385 W STATE ROAD 434 SUITE 103
LONGWOOD, FL 32750-6871
Phone number: 407-462-6133
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Mailing Address
Mr. SANTIAGO FALLON LMHC
230 E. PANAMA RD.
WINTER SPRINGS, FL 32708
Phone number: 407-462-6133
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