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1144489808
MADONNA ANN MOSS
LAKE CITY, FL
NPI
1144489808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL ISW4606)
Enumeration Date
2008-06-06
Last Update Date
2008-06-06
Business Address
-- MADONNA ANN MOSS MSW
1435 US HWY 90 W
LAKE CITY, FL 32025
Phone number: 386-487-1757
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Mailing Address
-- MADONNA ANN MOSS MSW
619 S MARION AVE
LAKE CITY, FL 32025
Phone number:
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