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1104188655
NISY ITTY
WINTER PARK, FL
NPI
1104188655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: FL 00111018)
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
Ms. NISY ITTY M.H.S, CRC
315 N LAKEMONT AVE SUITE B
WINTER PARK, FL 32792-3205
Phone number: 407-830-6412
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Mailing Address
Ms. NISY ITTY M.H.S, CRC
453 BRIDGE CREEK BLVD
OCOEE, FL 34761-4726
Phone number: 321-217-3641
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