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1033201934
MARTIN D TEJADA
PORT ST LUCIE, FL
NPI
1033201934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 7822)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
-- MARTIN D TEJADA LCSW
5250 NW MAYFIELD LN
PORT ST LUCIE, FL 34983-5351
Phone number: 772-343-0284
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Mailing Address
-- MARTIN D TEJADA LCSW
5250 NW MAYFIELD LN
PORT ST LUCIE, FL 34983-5351
Phone number: 772-343-0284
Copy
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