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1336654243
JOHANNA BAYNARD
TAMPA, FL
NPI
1336654243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL 2542)
Enumeration Date
2017-12-14
Last Update Date
2017-12-14
Business Address
JOHANNA BAYNARD MPH, CAP
7207 N NEBRASKA AVE
TAMPA, FL 33604-4916
Phone number: 813-236-1182
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Mailing Address
JOHANNA BAYNARD MPH, CAP
9662 PINE LAKE TRL
ST PETERSBURG, FL 33708-4521
Phone number: 813-347-2237
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