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11020 Seminole Blvd Largo FL 33778-3229 | |
| (727) 201-2577 | |
| (407) 289-0130 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11020 Seminole Blvd, Largo, Florida |
| Authorized Official Name and Position | Carla P Rasnick (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7272012577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11020 Seminole Blvd Largo FL 33778-3229 Ph: (727) 201-2577 | 11020 Seminole Blvd Largo FL 33778-3229 Ph: (727) 201-2577 |
| NPI Number | 1982161915 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 07/26/2021 |
| Certification Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982161915 | NPI | - | NPPES |
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