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Individual

MS. ANGELA HOLTONH HAWTHORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2101 INDIAN ROCKS RD S, LARGO, FL 33774-1037
(727) 433-3009
(727) 517-7373
Mailing address
11513 SHORT AVE, LARGO, FL 33774-3846
(727) 433-3009
(727) 517-7373

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH0004488
FL

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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