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1851643316
TISHA HENDERSON
TAMPA, FL
NPI
1851643316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL 4973)
Enumeration Date
2012-10-09
Last Update Date
2012-10-09
Business Address
Ms. TISHA HENDERSON CAP
2908 CHIPCO ST
TAMPA, FL 33605-1457
Phone number: 813-247-7368
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Mailing Address
Ms. TISHA HENDERSON CAP
2908 CHIPCO ST
TAMPA, FL 33605-1457
Phone number: 813-247-7368
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