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1932319571
BENNETT BURBANK
TAMPA, FL
NPI
1932319571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 7580)
Enumeration Date
2007-05-23
Last Update Date
2019-10-30
Business Address
Mr. BENNETT BURBANK L.C.S.W., C.A.P
2701 N ROCKY POINT DR STE 650
TAMPA, FL 33607-5999
Phone number: 800-892-0640
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Mailing Address
Mr. BENNETT BURBANK L.C.S.W., C.A.P
2701 N ROCKY POINT DR STE 650
TAMPA, FL 33607-5999
Phone number: 800-892-0640
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