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Theresa
Theresa
Bazacos
Clinical psychologist
Psychologist
Pensacola, United States
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Profile Summary
Full name
Theresa Bazacos
Job Title
Clinical Psychologist
Company Name
Hope Counseling Center
Florida Health Care Practitioner Data Portal
Full name
THERESA BAZACOS
Job Title
Psychologist
Location
Pensacola, FL, USA
LIC ID
6998
Current License Expiration Date
31/05/2024
Original Date
25/01/2012
Professional Rank Code
PY
Effective Date
25/01/2012
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ESCAMBIA
Practice Location Address Line 1
6425 Pensacola Blvd
Practice Location Address Line 2
Bldg 1, Ste 1
Practice Location Address City
PENSACOLA
Practice Location Address State
FL
Practice Location Address Zipcode
32505
Prescribing Indicator
N
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