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1972846814
NOVEMBER THEA CHURCH
BRANDON, FL
NPI
1972846814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH11735)
Enumeration Date
2013-03-28
Last Update Date
2013-03-28
Business Address
-- NOVEMBER THEA CHURCH
510 VONDERBURG DR SUITE 301
BRANDON, FL 33511-5954
Phone number: 813-881-1000
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Mailing Address
-- NOVEMBER THEA CHURCH
510 VONDERBURG DR SUITE 301
BRANDON, FL 33511-5954
Phone number: 813-881-1000
Copy
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