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1700154671
LISANDRA ANNETTE INDOMENICO
KISSIMMEE, FL
NPI
1700154671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PR 10680)
Enumeration Date
2011-12-07
Last Update Date
2012-10-06
Business Address
Mr. LISANDRA ANNETTE INDOMENICO MSW
111 E MONUMENT AVE UNIT 509
KISSIMMEE, FL 34741-5779
Phone number: 407-460-7850
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Mailing Address
Mr. LISANDRA ANNETTE INDOMENICO MSW
111 E MONUMENT AVE
KISSIMMEE, FL 34741-5762
Phone number:
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