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1376041640
NICOLE AMBER TEDESCO
BROOKSVILLE, FL
NPI
1376041640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW15102)
Enumeration Date
2018-01-31
Last Update Date
2018-01-31
Business Address
NICOLE AMBER TEDESCO LCSW
17222 HOSPITAL BLVD STE 116
BROOKSVILLE, FL 34601-8925
Phone number: 352-678-5550
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Mailing Address
NICOLE AMBER TEDESCO LCSW
2469 GLENRIDGE DR
SPRING HILL, FL 34609-3933
Phone number: 352-835-1955
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