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1194821074
RICHARD WALTER FEDORA
TAMPA, FL
NPI
1194821074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 2794)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
-- RICHARD WALTER FEDORA LMHC
4726 N HABANA AVE SUITE 204
TAMPA, FL 33614-7144
Phone number: 813-872-7582
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Mailing Address
-- RICHARD WALTER FEDORA LMHC
4726 N HABANA AVE SUITE 204
TAMPA, FL 33614-7144
Phone number: 813-872-7582
Copy
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