KIM LISLE

NEW PORT RICHEY, FL
NPI1134455231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH7607)
Enumeration Date2009-10-23
Last Update Date2009-10-23
Business Address
Mrs. KIM LISLE M.S.
8132 KING HELIE BLVD
NEW PORT RICHEY, FL 34653-1435
Phone number: 727-834-3959
Mailing Address
Mrs. KIM LISLE M.S.
359 CLEARFIELD AVE
SPRING HILL, FL 34606-6316
Phone number: 352-684-4250