GARY CARLSON

TAMPA, FL
NPI1508318403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: FL  IMH 14421)
Enumeration Date2016-10-27
Last Update Date2016-10-27
Business Address
MR. GARY CARLSON REGISTERED INTERN
10770 N 46TH ST
TAMPA, FL 33617-3442
Phone number: 813-631-2588
Mailing Address
MR. GARY CARLSON REGISTERED INTERN
10770 N 46TH ST
TAMPA, FL 33617-3442
Phone number: 813-631-2588
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