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1194360412
TIMOTHY LEISTNER
HOLLYWOOD, FL
NPI
1194360412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-11-11
Last Update Date
2019-12-10
Business Address
TIMOTHY LEISTNER EDD
3911 HOLLYWOOD BLVD # 3201
HOLLYWOOD, FL 33021-6795
Phone number: 954-639-7345
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Mailing Address
TIMOTHY LEISTNER EDD
3911 HOLLYWOOD BLVD # 3201
HOLLYWOOD, FL 33021-6795
Phone number: 954-639-7345
Copy
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