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1275299984
ROOSEVELT BADGER
TAMPA, FL
NPI
1275299984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW23507)
Enumeration Date
2021-11-17
Last Update Date
2024-09-13
Business Address
ROOSEVELT BADGER LCSW
8209 N MARKS ST
TAMPA, FL 33604-3431
Phone number: 305-748-3905
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Mailing Address
ROOSEVELT BADGER LCSW
8209 N MARKS ST
TAMPA, FL 33604-3431
Phone number: 305-748-3905
Copy
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