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1932570561
STEPHANIE MOTHERSHEAD
CLEARWATER, FL
NPI
1932570561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH13701)
Enumeration Date
2015-10-08
Last Update Date
2015-10-08
Business Address
-- STEPHANIE MOTHERSHEAD
2960 ROOSEVELT BLVD
CLEARWATER, FL 33760-1952
Phone number: 727-327-7656
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Mailing Address
-- STEPHANIE MOTHERSHEAD
PO BOX 10970
ST PETERSBURG, FL 33733-0970
Phone number: 727-327-7656
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