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1750165395
MADELINE FONTANEZ NIEVES
TAMPA, FL
NPI
1750165395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL ISW18768)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
MADELINE FONTANEZ NIEVES
7823 N DALE MABRY HWY STE 106
TAMPA, FL 33614-3273
Phone number: 813-570-5803
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Mailing Address
MADELINE FONTANEZ NIEVES
7863 BRISTOL PARK DR
APOLLO BEACH, FL 33572-1521
Phone number: 813-893-0385
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