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1184842577
ELLEN MARIE HENNIGAN
FORT MYERS, FL
NPI
1184842577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH5983)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
-- ELLEN MARIE HENNIGAN LMHC
2789 ORTIZ AVE
FORT MYERS, FL 33905-7806
Phone number: 239-791-1508
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Mailing Address
-- ELLEN MARIE HENNIGAN LMHC
2789 ORTIZ AVE
FORT MYERS, FL 33905-7806
Phone number: 239-791-1508
Copy
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