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1497010052
STACEY HEIDLER
FORT MYERS, FL
NPI
1497010052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-07-10
Last Update Date
2024-07-24
Business Address
STACEY HEIDLER
6315 PRESIDENTIAL CT STE 110
FORT MYERS, FL 33919-3568
Phone number: 239-826-2152
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Mailing Address
STACEY HEIDLER
3505 NE 21ST AVE
CAPE CORAL, FL 33909-7334
Phone number: 239-826-2152
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