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1871286476
ALEXIS FOOTMAN
MELBOURNE, FL
NPI
1871286476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-05-30
Last Update Date
2023-05-30
Business Address
ALEXIS FOOTMAN
3040 N WICKHAM RD STE 5
MELBOURNE, FL 32935-2369
Phone number: 321-610-4602
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Mailing Address
ALEXIS FOOTMAN
3135 SHADY DELL LN APT 215
MELBOURNE, FL 32935-6268
Phone number: 570-931-0805
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