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1932546983
IVORY TIERRA RENTHROPE
MELBOURNE, FL
NPI
1932546983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-05-31
Last Update Date
2013-05-31
Business Address
-- IVORY TIERRA RENTHROPE
3270 SUNTREE BLVD
MELBOURNE, FL 32940-7530
Phone number: 321-610-7949
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Mailing Address
-- IVORY TIERRA RENTHROPE
3780 ERIE ST
COCOA, FL 32926-3837
Phone number: 321-271-7762
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