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1013069137
MARK RICHARD DEARING
JACKSONVILLE, FL
NPI
1013069137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW0000953)
Enumeration Date
2007-01-17
Last Update Date
2020-02-16
Business Address
MARK RICHARD DEARING LCSW
12412 SAN JOSE BLVD STE 401
JACKSONVILLE, FL 32223-8620
Phone number: 904-348-0343
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Mailing Address
MARK RICHARD DEARING LCSW
1703 MOSSY CYPRESS LN
JACKSONVILLE, FL 32223-5023
Phone number: 904-477-5678
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