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1336815695
TIMOTHY DAVID BERRY
JACKSONVILLE, FL
NPI
1336815695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH19286)
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
TIMOTHY DAVID BERRY LMHC
13300 ATLANTIC BLVD APT 924
JACKSONVILLE, FL 32225-6137
Phone number: 904-527-5202
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Mailing Address
TIMOTHY DAVID BERRY LMHC
1015 ATLANTIC BLVD # 235
ATLANTIC BEACH, FL 32233-3313
Phone number: 904-527-5202
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