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1851132278
GERTIE MALLARD-TEAL
TAMPA, FL
NPI
1851132278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH23449)
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
GERTIE MALLARD-TEAL
401 W KENNEDY BLVD
TAMPA, FL 33606-1450
Phone number: 813-253-6250
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Mailing Address
GERTIE MALLARD-TEAL
1923 REDBRIDGE DR
BRANDON, FL 33511-8398
Phone number: 813-503-8480
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