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1558853812
TIA NICOLE SANDER
FORT MYERS, FL
NPI
1558853812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH16395)
Enumeration Date
2018-06-03
Last Update Date
2018-06-03
Business Address
TIA NICOLE SANDER MA, MCAP
12535 NEW BRITTANY BLVD # 28
FORT MYERS, FL 33907-3625
Phone number: 941-876-8113
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Mailing Address
TIA NICOLE SANDER MA, MCAP
1715 RED CEDAR DR APT 11
FORT MYERS, FL 33907-7640
Phone number: 651-357-4830
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