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1629708243
MARY LISA GRIMMER
FORT MYERS, FL
NPI
1629708243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH11345)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
MARY LISA GRIMMER
7235 MAIDA LN APT 5C
FORT MYERS, FL 33908-4203
Phone number: 239-410-7559
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Mailing Address
MARY LISA GRIMMER
7235 MAIDA LN APT 5C
FORT MYERS, FL 33908-4203
Phone number: 239-410-7559
Copy
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