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Individual

MRS. BOGUSLAWA BORNIK WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RMHI

Contact information

Practice address
9050 58TH DR E, LAKEWOOD RANCH, FL 34202-6104
(941) 229-3507
Mailing address
14444 N BRANCH RD, SARASOTA, FL 34240-9032
(941) 345-7446

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/07/2018
Last updated
09/07/2018
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