Individual
HOLLY LYNN DEPTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 S ALBANY AVE, APT 5, TAMPA, FL 33606-2457
(609) 712-3890
Mailing address
607 S ALBANY AVE, APT 5, TAMPA, FL 33606-2457
(609) 712-3890
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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