Lisa Olive

NPI 1760823223 - Counselor - 101YM0800X

NPI Details
NPI 1760823223
Gender Female
Enumeration Date 07/12/2013
Last Updated 07/12/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2225 S BABCOCK ST
MELBOURNE FL, 32901-5305, US
Phone (321) 676-1260
Fax
Business Location
2225 S BABCOCK ST
MELBOURNE FL, 32901-5305, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Lisa Olive NPI is 1760823223, taxonomy code is 101YM0800X Lisa Olive physically located at 2225 S Babcock St, Melbourne FL, 32901-5305. NPI Number Lisa Olive has the Individual type.

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1760823223 NPI number is provided on an as is basis without warranty of any kind. 1760823223 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Olive are for informational purposes only.