Provider Information for 1336735364
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LORI FEATHERINGILL LMHC
Other Names:Other Name:LORI FEATHERINGILL TIMBERLAKE LMHCSex: Female
NPI: 1336735364
Last Updated: 2020-12-14
Certification Date: 2020-12-14
Certification Date: 2020-12-14
Details
Name | Value | ||||||||
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NPI | 1336735364 | ||||||||
Enumeration Date | 2020-12-14 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1776 FIDDLERS RIDGE DR FLEMING ISLAND, FL 32003-7240 United States Phone: 706-551-9001 | Fax: | ||||||||
Primary Practice Address | 1776 FIDDLERS RIDGE DR FLEMING ISLAND, FL 32003-7240 United States Phone: 706-551-9001 | Fax: | ||||||||
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