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1962892604
SANDRA MIMS
FORT WALTON BEACH, FL
NPI
1962892604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2015-02-03
Last Update Date
2015-02-03
Business Address
SANDRA MIMS
417 RACETRACK RD NW
FORT WALTON BEACH, FL 32547-4612
Phone number: 850-864-2273
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Mailing Address
SANDRA MIMS
417 RACETRACK RD NW
FORT WALTON BEACH, FL 32547-4612
Phone number: 850-864-2273
Copy
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