Individual
IRA LEE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 W SADIE ST, BRANDON, FL 33510-4440
(813) 438-5949
(813) 438-5951
Mailing address
306 W SADIE ST, BRANDON, FL 33510-4440
(813) 438-5949
(813) 438-5951
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3907
FL
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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