Individual
BAMBI RAE DAIGNAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
113 E MAIN ST, SUITE # 7, BARTOW, FL 33830-4630
(813) 689-8828
(813) 689-8802
Mailing address
135 N MOON AVE, BRANDON, FL 33510-4419
(813) 689-8828
(813) 689-8802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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