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1689943482
JOEL BERGMAN
TAMPA, FL
NPI
1689943482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL mh9474)
Enumeration Date
2011-12-22
Last Update Date
2011-12-22
Business Address
-- JOEL BERGMAN
3107 N 50TH ST
TAMPA, FL 33619-2302
Phone number: 813-367-2317
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Mailing Address
-- JOEL BERGMAN
4612 N 56TH ST
TAMPA, FL 33610-7123
Phone number: 813-367-2317
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