ERIC WESLEY FADELY

COCOA BEACH, FL
NPI1174819650
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH 8755)
Enumeration Date2011-06-23
Last Update Date2011-06-23
Business Address
-- ERIC WESLEY FADELY MA MA
3000 N ATLANTIC AVE STE 102
COCOA BEACH, FL 32931-5045
Phone number: 321-784-5367
Mailing Address
-- ERIC WESLEY FADELY MA MA
3000 N ATLANTIC AVE STE 102
COCOA BEACH, FL 32931-5045
Phone number: 321-784-5367
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