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1093301608
JAMES TICKAL
MAITLAND, FL
NPI
1093301608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW17870)
Enumeration Date
2020-12-17
Last Update Date
2021-01-18
Business Address
JAMES TICKAL LCSW
1555 N MAITLAND AVE
MAITLAND, FL 32751-3325
Phone number: 407-986-7831
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Mailing Address
JAMES TICKAL LCSW
2328 FOLIAGE OAK TER
OVIEDO, FL 32766-7021
Phone number: 615-414-8294
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