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Organization
ST. PETERSBURG COUNSELING, LLC
Active
Organization
ST. PETERSBURG COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA A. BAKER LCSW (PRESIDENT)
(727) 437-6222
Entity
Organization
Contact information
Practice address
3775 CENTRAL AVE, SAINT PETERSBURG, FL 33713-8338
(727) 437-6222
Mailing address
10228 PARADISE BLVD, TREASURE ISLAND, FL 33706-3119
(727) 437-6222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12064
FL
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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