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1215539333
TEISHA NICOLE PACK
ORLANDO, FL
NPI
1215539333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW17489)
Enumeration Date
2020-11-13
Last Update Date
2020-11-13
Business Address
TEISHA NICOLE PACK LCSW
1060 WOODCOCK RD STE 104
ORLANDO, FL 32803-3611
Phone number: 407-542-6204
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Mailing Address
TEISHA NICOLE PACK LCSW
854 SKY LAKE CIR APT D
ORLANDO, FL 32809-7134
Phone number: 407-406-4718
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