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Individual

KAYLA DASCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3491 GANDY BLVD N STE 201, PINELLAS PARK, FL 33781-2654
(727) 547-0607
Mailing address
3491 GANDY BLVD N STE 201, PINELLAS PARK, FL 33781-2654

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UNKNOWN
DO NOT HAVE ONE
Enumeration date
04/01/2020
Last updated
04/01/2020
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