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1699939371
SANDNES SMITH BOULANGER
TAMPA, FL
NPI
1699939371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL sw6638)
Enumeration Date
2008-07-11
Last Update Date
2008-07-11
Business Address
Mrs. SANDNES SMITH BOULANGER LCSW
10909 MEMORIAL HWY
TAMPA, FL 33615-2511
Phone number: 813-864-1421
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Mailing Address
Mrs. SANDNES SMITH BOULANGER LCSW
522 39TH AVE NE
ST PETERSBURG, FL 33703-5918
Phone number: 727-504-2427
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