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1184169617
BRYAN SMITH
TAMPA, FL
NPI
1184169617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-12-19
Last Update Date
2016-12-19
Business Address
-- BRYAN SMITH
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
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Mailing Address
-- BRYAN SMITH
5707 N 22ND ST MENTAL HEALTHCARE, INC DBA GRACEPOINT
TAMPA, FL 33610-4350
Phone number: 813-239-8069
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