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1285946095
ALICE MENDEZ BOULLOSA
TAMPA, FL
NPI
1285946095
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Former Name
ALICE NORMA MENDEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL MT0001228)
Enumeration Date
2010-07-09
Last Update Date
2010-07-09
Business Address
Mrs. ALICE MENDEZ BOULLOSA M.S.W., L.M.F.T.
200 S HOOVER BLVD BLDG 200 SUITE 100
TAMPA, FL 33609-3540
Phone number: 813-789-6070
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Mailing Address
Mrs. ALICE MENDEZ BOULLOSA M.S.W., L.M.F.T.
200 S HOOVER BLVD BLDG 200 SUITE 100
TAMPA, FL 33609-3540
Phone number: 813-789-6070
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