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1598131039
SHANA BLOUNT
TAMPA, FL
NPI
1598131039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
-- SHANA BLOUNT
5501 W WATERS AVE
TAMPA, FL 33634-1229
Phone number: 813-881-1000
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Mailing Address
-- SHANA BLOUNT
5501 W WATERS AVE
TAMPA, FL 33634-1229
Phone number: 813-881-1000
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