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1962948521
TAKIESHA YOUNG
TAMPA, FL
NPI
1962948521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TM1800X Psychologist, Intellectual & Developmental Disabilities
Enumeration Date
2017-01-06
Last Update Date
2017-01-06
Business Address
-- TAKIESHA YOUNG
8565 CHANNELVIEW CIR
TAMPA, FL 33614-8121
Phone number: 813-279-0871
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Mailing Address
-- TAKIESHA YOUNG
8565 CHANNELVIEW CIR
TAMPA, FL 33614-8121
Phone number: 813-279-0871
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