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1265155642
CANDACE FRASER
TAMPA, FL
NPI
1265155642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH20673)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
CANDACE FRASER
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-530-5682
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Mailing Address
CANDACE FRASER
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-530-5682
Copy
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