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Organization
D. FENNELL JR, LLC
Active
Organization
D. FENNELL JR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL WAYNE FENNELL (PRESIDENT)
(813) 557-7118
Entity
Organization
Contact information
Practice address
400 N ASHLEY DR STE 2600, TAMPA, FL 33602-4310
(813) 557-7118
Mailing address
8315 BERKELEY MANOR BLVD, SPRING HILL, FL 34606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH15956
FL
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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