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1851084404
LUIS GUILLERMO GONZALES
TAMPA, FL
NPI
1851084404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 22304)
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
LUIS GUILLERMO GONZALES
7513 S WALL ST
TAMPA, FL 33616-2163
Phone number: 850-582-2185
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Mailing Address
LUIS GUILLERMO GONZALES
7513 S WALL ST
TAMPA, FL 33616-2163
Phone number: 850-582-2185
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