Individual
BREUN RICKETTS-BELCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 E MAIN ST, BARTOW, FL 33830-4630
(813) 689-8828
Mailing address
135 N MOON AVE, BRANDON, FL 33510-4419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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