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1568913200
MARTA GONGORA RICARDO
ST PETERSBURG, FL
NPI
1568913200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 193200000X)
Enumeration Date
2016-10-18
Last Update Date
2016-10-18
Business Address
-- MARTA GONGORA RICARDO
2510 1ST AVE S
ST PETERSBURG, FL 33712-1106
Phone number: 727-289-1164
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Mailing Address
-- MARTA GONGORA RICARDO
2510 1ST AVE S
ST PETERSBURG, FL 33712-1106
Phone number: 727-289-1164
Copy
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