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1508162116
TEQUILLA SCHANTEL BOBO
TAMPA, FL
NPI
1508162116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH9987)
Enumeration Date
2011-01-28
Last Update Date
2017-03-29
Business Address
-- TEQUILLA SCHANTEL BOBO
4107 W SPRUCE ST SUITE 100
TAMPA, FL 33607-2327
Phone number: 813-636-8811
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Mailing Address
-- TEQUILLA SCHANTEL BOBO
4107 W SPRUCE ST SUITE 100
TAMPA, FL 33607-2327
Phone number: 813-636-8811
Copy
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