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1831583178
BRYAN BOOTH
TAMPA, FL
NPI
1831583178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL LCCT0302010409)
Enumeration Date
2015-03-25
Last Update Date
2015-03-25
Business Address
-- BRYAN BOOTH PHD
2712 E 122ND AVE
TAMPA, FL 33612-4715
Phone number: 727-831-0337
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Mailing Address
-- BRYAN BOOTH PHD
2712 E 122ND AVE
TAMPA, FL 33612-4715
Phone number:
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