Individual
RUTHIE ERNESTINE DOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1752 TURNER ST, CLEARWATER, FL 33756-6241
(727) 386-5887
Mailing address
1752 TURNER ST, CLEARWATER, FL 33756-6241
(727) 386-5887
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ISW11117
FL
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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