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1457763609
BERTHELOT JEAN JACQUES
FORT PIERCE, FL
NPI
1457763609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-05-22
Last Update Date
2019-05-17
Business Address
BERTHELOT JEAN JACQUES
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-567-5550
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Mailing Address
BERTHELOT JEAN JACQUES
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-567-5550
Copy
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