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1902109051
JOHANNA THULLBERY
LAKELAND, FL
NPI
1902109051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-12-13
Last Update Date
2011-08-19
Business Address
-- JOHANNA THULLBERY
715 N LAKE AVE
LAKELAND, FL 33801-1908
Phone number: 863-519-0575
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Mailing Address
-- JOHANNA THULLBERY
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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