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1194017095
PATRICK PAUL BRODNIK
ORMOND BEACH, FL
NPI
1194017095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH10630)
Enumeration Date
2011-05-10
Last Update Date
2014-01-06
Business Address
Mr. PATRICK PAUL BRODNIK MA, MS, PhD(c), LMHC
555 W GRANADA BLVD SUITE B-12
ORMOND BEACH, FL 32174-9485
Phone number: 386-290-8296
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Mailing Address
Mr. PATRICK PAUL BRODNIK MA, MS, PhD(c), LMHC
PO BOX 730053
ORMOND BEACH, FL 32173-0053
Phone number: 386-290-8296
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