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1801210398
BETHANY BRUNN
ST PETERSBURG, FL
NPI
1801210398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH 9646)
Enumeration Date
2014-02-05
Last Update Date
2014-02-05
Business Address
-- BETHANY BRUNN
4024 CENTRAL AVE
ST PETERSBURG, FL 33711-1239
Phone number: 727-327-7656
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Mailing Address
-- BETHANY BRUNN
655 WOODDELL DR
SAFETY HARBOR, FL 34695-4151
Phone number: 321-576-6405
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