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1992294375
COUNSELING & WELLNESS BOUTIQUE LLC
TAMPA, FL
NPI
1992294375
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Entity Type
Organization
Authorized Contact
TAINA THORPE
Clinical Director
813-591-4868
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-05-01
Last Update Date
2019-08-30
Business Address
COUNSELING & WELLNESS BOUTIQUE LLC
1503 S US HIGHWAY 301 STE E16
TAMPA, FL 33619-5126
Phone number: 813-591-4868
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Mailing Address
COUNSELING & WELLNESS BOUTIQUE LLC
11705 BOYETTE RD # 248
RIVERVIEW, FL 33569-5533
Phone number: 813-591-4868
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