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1043689946
LEE WATTERS
JACKSONVILLE, FL
NPI
1043689946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH13933)
Enumeration Date
2015-09-21
Last Update Date
2015-09-21
Business Address
-- LEE WATTERS MS
13500 SUTTON PARK DR S SUITE 203
JACKSONVILLE, FL 32224-5251
Phone number: 904-834-1406
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Mailing Address
-- LEE WATTERS MS
1601 BENTIN DR S
JACKSONVILLE BEACH, FL 32250-2787
Phone number: 904-504-8838
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