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1851171268
ETHAN OWENS
ST PETERSBURG, FL
NPI
1851171268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
ETHAN OWENS MA
146 2ND ST N STE 101
ST PETERSBURG, FL 33701-3361
Phone number: 727-490-9911
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Mailing Address
ETHAN OWENS MA
146 2ND ST N STE 101
ST PETERSBURG, FL 33701-3361
Phone number: 727-490-9911
Copy
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