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1639721517
MATILDE FONSECA
TAMPA, FL
NPI
1639721517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH17049)
Enumeration Date
2019-07-11
Last Update Date
2024-02-15
Business Address
MATILDE FONSECA LMHC
8726 W WATERS AVE
TAMPA, FL 33615-1714
Phone number: 137-121-7268
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Mailing Address
MATILDE FONSECA LMHC
12171 SW 268TH ST
HOMESTEAD, FL 33032-8001
Phone number: 305-278-0200
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