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1730361262
SANDRA VIDAL
PINELLAS PARK, FL
NPI
1730361262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH6318)
Enumeration Date
2007-11-27
Last Update Date
2007-11-27
Business Address
-- SANDRA VIDAL M.S.
4425 PARK BLVD
PINELLAS PARK, FL 33781-3540
Phone number: 727-235-3429
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Mailing Address
-- SANDRA VIDAL M.S.
12001 DR MARTIN LUTHER KING JR ST N APT 2611
ST PETERSBURG, FL 33716-1618
Phone number: 941-284-1821
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