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1053763169
LISA BENTIVENGA LCSW P LLC
TAMPA, FL
NPI
1053763169
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Entity Type
Organization
Authorized Contact
LISA BENTIVENGA
Lscw
813-505-1949
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW11270)
Enumeration Date
2016-07-13
Last Update Date
2017-04-17
Business Address
LISA BENTIVENGA LCSW P LLC
322 W BEARSS AVE
TAMPA, FL 33613-1228
Phone number: 813-505-1949
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Mailing Address
LISA BENTIVENGA LCSW P LLC
4010 HARBOR LAKE DR
LUTZ, FL 33558-9731
Phone number: 813-505-1949
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