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1134455231
KIM LISLE
NEW PORT RICHEY, FL
NPI
1134455231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH7607)
Enumeration Date
2009-10-23
Last Update Date
2009-10-23
Business Address
Mrs. KIM LISLE M.S.
8132 KING HELIE BLVD
NEW PORT RICHEY, FL 34653-1435
Phone number: 727-834-3959
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Mailing Address
Mrs. KIM LISLE M.S.
359 CLEARFIELD AVE
SPRING HILL, FL 34606-6316
Phone number: 352-684-4250
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