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1700428034
ROBERTA S HIGGINBOTHAM
BRANDON, FL
NPI
1700428034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW11273)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
ROBERTA S HIGGINBOTHAM LCSW
421 LITHIA PINECREST RD
BRANDON, FL 33511-6138
Phone number: 813-315-8648
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Mailing Address
ROBERTA S HIGGINBOTHAM LCSW
PO BOX 4643
PLANT CITY, FL 33563-0029
Phone number: 813-763-1783
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