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1336679950
TIM GREEN LMHC LLC
ESTERO, FL
NPI
1336679950
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Entity Type
Organization
Authorized Contact
TIM GREEN
Owner
239-321-0797
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH7986)
Enumeration Date
2017-06-15
Last Update Date
2022-07-21
Business Address
TIM GREEN LMHC LLC
9500 CORKSCREW PALMS CIR STE 3
ESTERO, FL 33928
Phone number: 239-321-0797
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Mailing Address
TIM GREEN LMHC LLC
229 AMBURY ST
FORT MYERS, FL 33913-7131
Phone number: 239-321-0797
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