Individual
MR. BREZHNEV THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1503 S US HIGHWAY 301 STE E16, TAMPA, FL 33619-5126
(813) 586-3106
(813) 274-9255
Mailing address
11705 BOYETTE RD # 248, RIVERVIEW, FL 33569-5533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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