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1518332576
WALTER JIMENEZ
LAKELAND, FL
NPI
1518332576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH12180)
Enumeration Date
2015-12-02
Last Update Date
2015-12-02
Business Address
-- WALTER JIMENEZ
6221 SWEETWATER DR W
LAKELAND, FL 33811-1961
Phone number: 863-399-9886
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Mailing Address
-- WALTER JIMENEZ
6221 SWEETWATER DRIVE W
LAKELAND, FL 33811
Phone number:
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