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1689993198
BRAINARD WILLEM HINES
STUART, FL
NPI
1689993198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MHC 0612)
Enumeration Date
2010-05-24
Last Update Date
2010-05-24
Business Address
DR. BRAINARD WILLEM HINES PHD
2355 NE OCEAN BLVD #38B
STUART, FL 34996-2945
Phone number: 305-804-4205
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Mailing Address
DR. BRAINARD WILLEM HINES PHD
2355 NE OCEAN BLVD #38B
STUART, FL 34996-2945
Phone number: 305-804-4205
Copy
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