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1659056950
NYCOLLE AUTIMN LFE
ORLANDO, FL
NPI
1659056950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-06-15
Last Update Date
2023-06-15
Business Address
NYCOLLE AUTIMN LFE
5768 S SEMORAN BLVD
ORLANDO, FL 32822-4818
Phone number: 407-896-2323
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Mailing Address
NYCOLLE AUTIMN LFE
2005 PONDEROSA AVE
WINTER PARK, FL 32792-2063
Phone number: 407-457-4471
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