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1659047967
CHARLES CROUSE
TAMPA, FL
NPI
1659047967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH22490)
Enumeration Date
2021-08-17
Last Update Date
2024-11-08
Business Address
CHARLES CROUSE MA, LMHC
3825 HENDERSON BLVD STE 404
TAMPA, FL 33629-5012
Phone number: 813-344-1671
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Mailing Address
CHARLES CROUSE MA, LMHC
11919 WANDSWORTH DR
TAMPA, FL 33626-2612
Phone number: 813-344-1671
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