Individual
JOAN BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
445 31ST ST N, ST PETERSBURG, FL 33713-7605
(727) 522-4717
Mailing address
445 31ST ST N, ST PETERSBURG, FL 33713-7605
(727) 522-4717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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