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1033139332
SUSAN MCCULLOCH
JACKSONVILLE, FL
NPI
1033139332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW1539)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
-- SUSAN MCCULLOCH LCSW
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257-9220
Phone number: 904-419-6102
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Mailing Address
-- SUSAN MCCULLOCH LCSW
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257-9220
Phone number: 904-419-6102
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