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1124453881
JOHNNIE SCOTT-BOLLER
SAINT PETERSBURG, FL
NPI
1124453881
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Former Name
JOHNNIE SCOTT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-09-12
Last Update Date
2013-09-12
Business Address
-- JOHNNIE SCOTT-BOLLER
445 31ST ST N
SAINT PETERSBURG, FL 33713-7605
Phone number: 727-328-4008
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Mailing Address
-- JOHNNIE SCOTT-BOLLER
445 31ST ST N ST. PETERSBURG
ST PETERSBURG, FL 33713-7605
Phone number: 727-328-4008
Copy
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