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Organization
THOMAS B. UNSWORTH P.A.
Active
Organization
THOMAS B. UNSWORTH P.A.
Active
Parent organization
THOMAS B. UNSWORTH P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOMAS B. UNSWORTH P.A.
Authorized official
THOMAS BRANDON UNSWORTH LMHC (PRESIDENT)
(561) 541-2005
Entity
Organization
Contact information
Practice address
6269 NW GISELA ST, PORT SAINT LUCIE, FL 34986-3866
(561) 541-2005
(772) 879-2077
Mailing address
451 SW BETHANY DR, SUITE 206, PORT ST LUCIE, FL 34986-1964
(561) 541-2005
(772) 879-2077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH4732
FL
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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