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Individual

STEPHANIE BARDALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S., M.S.

Contact information

Practice address
517 DELTONA BLVD., SUITE A, DELTONA, FL 32725-8016
(386) 259-5413
Mailing address
14220 CYBER PLACE, APT #304, TAMPA, FL 33613-6177
(954) 937-6020

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
12/02/2015
Last updated
12/02/2015
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