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1003230657
SUSAN LEE
JACKSONVILLE, FL
NPI
1003230657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW2323)
Enumeration Date
2014-02-18
Last Update Date
2015-06-16
Business Address
-- SUSAN LEE
12086 FT.CAROLINE RD SUITE 401
JACKSONVILLE, FL 32225-1536
Phone number: 904-565-1271
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Mailing Address
-- SUSAN LEE
12086 FORT CAROLINE RD
JACKSONVILLE, FL 32225-2687
Phone number: 904-565-1271
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