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1164072211
KIMBERLY FAVARO
LAKELAND, FL
NPI
1164072211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
KIMBERLY FAVARO
1010 E ROSE ST
LAKELAND, FL 33801-2016
Phone number: 863-640-3779
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Mailing Address
KIMBERLY FAVARO
1010 E ROSE ST
LAKELAND, FL 33801-2016
Phone number: 863-640-3779
Copy
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