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Individual

MISS CHARLENE BORIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
270575 POST OFFICE BX, TAMPA, FL 33688-3368
(662) 441-3595
Mailing address
PO BOX 270575, TAMPA, FL 33688-0575
(666) 624-4135

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
FL

Other

Enumeration date
08/25/2020
Last updated
02/17/2022
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