Individual
MS. MARY K LAGATTUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8509 BENJAMIN RD, SUITE D, TAMPA, FL 33634-1224
(813) 872-8521
Mailing address
410 MERLIN CT, BRANDON, FL 33510-3033
(727) 432-4336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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