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1851012199
BRENT EUGENE NEIDEFFER
TAMPA, FL
NPI
1851012199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 1181)
Enumeration Date
2022-09-06
Last Update Date
2022-09-06
Business Address
BRENT EUGENE NEIDEFFER MSW
13000 BRUCE B DOWNS BLVD # A
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
BRENT EUGENE NEIDEFFER MSW
12922 N OREGON AVE
TAMPA, FL 33612-3350
Phone number: 813-972-2000
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