Provider Information for 1639356694
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MILDRED ALICE SELLARS LCSW
Sex: Female
NPI: 1639356694
Last Updated: 2008-01-22
Certification Date:
Certification Date:
Details
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NPI | 1639356694 | ||||||||
Enumeration Date | 2008-01-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1800 MERCY DR SUITE 302 ORLANDO, FL 32808-5646 United States Phone: 407-875-3700 | Fax:407-522-4671 | ||||||||
Primary Practice Address | 1800 MERCY DR SUITE 302 ORLANDO, FL 32808-5646 United States Phone: 407-875-3700 | Fax:407-522-4671 | ||||||||
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