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Organization
MAGNOLIA COMMUNITY MENTAL HEALTH CENTER
Active
Organization
MAGNOLIA COMMUNITY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNAMYS MIRALLES (OFFICE ADMINISTRATOR)
(813) 450-1052
Entity
Organization
Contact information
Practice address
2513 W HILLSBOROUGH AVE STE 210, TAMPA, FL 33614-6122
(813) 443-5530
Mailing address
2513 W HILLSBOROUGH AVE STE 210, TAMPA, FL 33614-6122
(813) 450-1052
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
12/05/2023
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