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1134424013
KISHA COPELAND
TAMPA, FL
NPI
1134424013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 650848685)
Enumeration Date
2011-01-24
Last Update Date
2011-01-24
Business Address
-- KISHA COPELAND
11428 N 53RD ST
TAMPA, FL 33617-2216
Phone number: 813-374-9416
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Mailing Address
-- KISHA COPELAND
11428 N 53RD ST
TAMPA, FL 33617-2216
Phone number: 813-374-9416
Copy
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