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Individual

MRS. ANN LOUISE UPCAVAGE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
3104 W WATERS AVE, SUITE 102, TAMPA, FL 33614-2800
(813) 932-3993
(813) 932-3902
Mailing address
3104 W. WATERS AVENUE, SUITE 102, TAMPA, FL 33614-2876
(813) 932-3993
(813) 932-3902

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH0002960
FL

Other

Enumeration date
06/21/2006
Last updated
07/09/2007
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