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1184788705
JIM BRACE
TAMPA, FL
NPI
1184788705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: FL SW7075)
Enumeration Date
2006-12-20
Last Update Date
2007-07-09
Business Address
-- JIM BRACE LCSW
209 N WILLOW AVE
TAMPA, FL 33606-1333
Phone number: 813-247-5433
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Mailing Address
-- JIM BRACE LCSW
PO BOX 4772
TAMPA, FL 33677-4772
Phone number: 813-247-5433
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