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1912099391
MELISSA DIANE FENTON
JACKSONVILLE, FL
NPI
1912099391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH8881)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
MRS. MELISSA DIANE FENTON L.M.H.C.
13500 SUTTON PARK DR S STE 203
JACKSONVILLE, FL 32224-5291
Phone number: 904-992-9930
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Mailing Address
MRS. MELISSA DIANE FENTON L.M.H.C.
4475 CATHEYS CLUB LN
JACKSONVILLE, FL 32224-5670
Phone number:
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