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1073508305
DONALD FRED WILLETS
LAKELAND, FL
NPI
1073508305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 2300)
Enumeration Date
2005-09-13
Last Update Date
2022-07-21
Business Address
-- DONALD FRED WILLETS LMHC
4951 SOUTHFORK DR
LAKELAND, FL 33813
Phone number: 863-614-0034
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Mailing Address
-- DONALD FRED WILLETS LMHC
PO BOX 91872
LAKELAND, FL 33804
Phone number: 863-614-0034
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