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1114443140
TISHA MARIE LEAVITT
PALMETTO BAY, FL
NPI
1114443140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041S0200X Social Worker School
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2017-08-22
Last Update Date
2017-10-26
Business Address
TISHA MARIE LEAVITT
17615 FRANJO RD
PALMETTO BAY, FL 33157-5636
Phone number: 786-268-2611
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Mailing Address
TISHA MARIE LEAVITT
17615 FRANJO RD
PALMETTO BAY, FL 33157-5636
Phone number:
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