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MISS JENNIFER KAY KANGAS

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1801966106

Individual Registrant:
MISS JENNIFER KAY KANGAS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5707 N 22ND STREET MENTAL HEALTHCARE INC TAMPLA, FL 33610 US
Tel: 813-272-2878  Fax: 813-272-3766

Contact information for business:
5707 N 22ND STREET MENTAL HEALTHCARE INC TAMPLA, FL 33610 US
Tel: 813-272-2878  Fax: 813-272-3766

Registration Information:
NPI: 1801966106
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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