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1043786080
MATTHEW RICHARD SWANHART
GREEN COVE SPRINGS, FL
NPI
1043786080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 11070)
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
MATTHEW RICHARD SWANHART LCSW
3388 CANYON FALLS DR
GREEN COVE SPRINGS, FL 32043-9228
Phone number: 904-214-6445
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Mailing Address
MATTHEW RICHARD SWANHART LCSW
3388 CANYON FALLS DR
GREEN COVE SPRINGS, FL 32043-9228
Phone number: 904-214-6445
Copy
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