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1184764847
TERESA DIANE DORE
PORT ST LUCIE, FL
NPI
1184764847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 7687)
Enumeration Date
2007-02-08
Last Update Date
2024-01-05
Business Address
TERESA DIANE DORE L.M.H.C
518 SW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983-8734
Phone number: 772-873-8811
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Mailing Address
TERESA DIANE DORE L.M.H.C
3104 PIN OAK CT
PALM BEACH GARDENS, FL 33410-4493
Phone number: 561-776-9710
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