Individual
KASIE BOEHM
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
8168 24TH AVE N, ST PETERSBURG, FL 33710-3624
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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