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1679902472
MARK WELLIVER
FORT MYERS, FL
NPI
1679902472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH11784)
Enumeration Date
2013-11-02
Last Update Date
2013-11-02
Business Address
-- MARK WELLIVER LMHC
10140 DEER RUN FARMS RD
FORT MYERS, FL 33966-1045
Phone number: 239-791-1586
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Mailing Address
-- MARK WELLIVER LMHC
3763 EVANS AVE
FORT MYERS, FL 33901-9302
Phone number: 239-791-1586
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