BLAZE VESOLOWSKI
Mental Health at Jennings Dr, Sarasota, FL

License number
Florida 6306
Issued Date
Jul 3, 2007
Effective Date
Apr 20, 2011
Expiration Date
Mar 31, 2009
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
3160 Jennings Dr, Sarasota, FL 34239
5603 34Th St W, Bradenton, FL 34210
Phone
(941) 923-7355
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Blaze Vesolowski, age 64
3160 Jennings Dr, Sarasota, FL 34239
Blaze Vesolowski
PO Box 1102, Sarasota, FL 34230

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