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1174962799
CHARLES MICELI
DEBARY, FL
NPI
1174962799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW5546)
Enumeration Date
2013-06-17
Last Update Date
2013-06-17
Business Address
Mr. CHARLES MICELI MSW, LCSW
465 SUMMERHAVEN DR SUITE 1-A
DEBARY, FL 32713-5211
Phone number: 407-493-8181
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Mailing Address
Mr. CHARLES MICELI MSW, LCSW
1405 HEARTHSTONE LN
LONGWOOD, FL 32750-3343
Phone number: 407-493-8181
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