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1639794910
SAMANTHA LOWER DETTMAR
FORT MYERS, FL
NPI
1639794910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH22578)
Enumeration Date
2020-06-11
Last Update Date
2023-10-17
Business Address
SAMANTHA LOWER DETTMAR MS
822 UMBER DR
FORT MYERS, FL 33913-2415
Phone number: 423-943-3724
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Mailing Address
SAMANTHA LOWER DETTMAR MS
822 UMBER DR
FORT MYERS, FL 33913-2415
Phone number: 423-943-3724
Copy
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