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1831640895
LEEANNA MANTICA
FORT MYERS, FL
NPI
1831640895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH 13942)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
-- LEEANNA MANTICA
3820 COLONIAL BLVD SUITE 102
FORT MYERS, FL 33966-1094
Phone number: 239-208-9449
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Mailing Address
-- LEEANNA MANTICA
10841 HIGHLAND AVE
FORT MYERS, FL 33966-1124
Phone number: 904-612-6951
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