DUSTIN ERNEST BAETZ

ORLANDO, FL
NPI1174192173
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH15074)
Enumeration Date2021-06-23
Last Update Date2021-06-23
Business Address
DUSTIN ERNEST BAETZ
1516 E COLONIAL DR
ORLANDO, FL 32803-4740
Phone number: 407-894-1708
Mailing Address
DUSTIN ERNEST BAETZ
430 E PACKWOOD AVE APT H103
MAITLAND, FL 32751-5749
Phone number: 347-229-2489
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