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1003163528
TREVOR DEAN BAINES
PANAMA CITY, FL
NPI
1003163528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 13426)
Enumeration Date
2012-08-14
Last Update Date
2016-06-13
Business Address
Mr. TREVOR DEAN BAINES LCSW
2711 W 15TH ST
PANAMA CITY, FL 32401-1366
Phone number: 850-769-6001
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Mailing Address
Mr. TREVOR DEAN BAINES LCSW
2711 W 15TH ST
PANAMA CITY, FL 32401-1366
Phone number: 850-769-6001
Copy
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