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1093284036
THERESE MARIE DE LIZ
ORLANDO, FL
NPI
1093284036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH16509)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
THERESE MARIE DE LIZ
2246 OSPREY AVE
ORLANDO, FL 32814-6578
Phone number: 407-864-0708
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Mailing Address
THERESE MARIE DE LIZ
2246 OSPREY AVE
ORLANDO, FL 32814-6578
Phone number: 407-864-0708
Copy
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