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1093186777
DECARLOS KOUVARIS SCIPPIO
LAKE CITY, FL
NPI
1093186777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW21614)
Enumeration Date
2015-10-07
Last Update Date
2023-09-19
Business Address
DECARLOS KOUVARIS SCIPPIO LCSW
226 SW PINE FOREST CT
LAKE CITY, FL 32024
Phone number: 386-344-8355
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Mailing Address
DECARLOS KOUVARIS SCIPPIO LCSW
226 SW PINE FOREST CT
LAKE CITY, FL 32024
Phone number: 386-344-8355
Copy
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