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1114990397
MARTIN A DERITA
MAITLAND, FL
NPI
1114990397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 639)
Enumeration Date
2006-02-09
Last Update Date
2011-02-04
Business Address
Mr. MARTIN A DERITA L.C.S.W., B.C.D.
235 S MAITLAND AVE SUITE101
MAITLAND, FL 32751-5677
Phone number: 407-644-2121
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Mailing Address
Mr. MARTIN A DERITA L.C.S.W., B.C.D.
235 S MAITLAND AVE SUITE101
MAITLAND, FL 32751-5677
Phone number: 407-644-2121
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