Provider Information for 1891389003
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JUSTINE NYMAN LMHC
Sex: Female
NPI: 1891389003
Last Updated: 2021-02-28
Certification Date: 2021-02-28
Certification Date: 2021-02-28
Details
| Name | Value | ||||||||||||||
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| NPI | 1891389003 | ||||||||||||||
| Enumeration Date | 2021-02-28 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 9037 KING RD W FORT MYERS, FL 33967-3708 United States Phone: 973-270-7089 | Fax: | ||||||||||||||
| Primary Practice Address | 9037 KING RD W FORT MYERS, FL 33967-3708 United States Phone: 973-270-7089 | Fax: | ||||||||||||||
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