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1629744321
MALAZ IDRIS
ST PETERSBURG, FL
NPI
1629744321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-08-22
Last Update Date
2021-08-22
Business Address
MALAZ IDRIS
3840 5TH AVE N
ST PETERSBURG, FL 33713-7521
Phone number: 904-235-7771
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Mailing Address
MALAZ IDRIS
6601 MARINA POINTE VILLAGE CT # 20-303
TAMPA, FL 33635-9036
Phone number: 904-235-7771
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