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Individual

IRMARY FUENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MRC, CRC

Contact information

Practice address
2103 N ROME AVE, TAMPA, FL 33607-3509
(813) 825-2103
Mailing address
1220 E CUMBERLAND AVE UNIT 136, TAMPA, FL 33602-4237
(813) 399-3131

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/30/2023
Last updated
01/30/2023
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