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1457622896
MISTY LEE FENTON
TAMPA, FL
NPI
1457622896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH 10818)
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
MRS. MISTY LEE FENTON M.ED., LMHC
4100 W KENNEDY BLVD SUITE 326
TAMPA, FL 33609-2288
Phone number: 813-400-3344
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Mailing Address
MRS. MISTY LEE FENTON M.ED., LMHC
3218 W SAN MIGUEL ST
TAMPA, FL 33629-5949
Phone number: 850-585-7735
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