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Organization
FOUNDATIONS FOR GROWTH, PLLC
Active
Organization
FOUNDATIONS FOR GROWTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA COONS LCSW (CO-FOUNDER)
(813) 773-5767
Entity
Organization
Contact information
Practice address
4100 W KENNEDY BLVD, SUITE 326, TAMPA, FL 33609-2288
(813) 773-5767
Mailing address
4100 W KENNEDY BLVD, SUITE 326, TAMPA, FL 33609-2288
(813) 773-5767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW13287
FL
1041C0700X
Clinical Social Worker
Primary
SW13435
FL
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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