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1194702845
CHARLES MARK PREUETT
BRANDON, FL
NPI
1194702845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 9012)
Enumeration Date
2005-12-23
Last Update Date
2018-10-11
Business Address
Mr. CHARLES MARK PREUETT L.C.S.W.
421 LITHIA PINECREST RD
BRANDON, FL 33511-6138
Phone number: 813-401-6148
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Mailing Address
Mr. CHARLES MARK PREUETT L.C.S.W.
421 LITHIA PINECREST RD
BRANDON, FL 33511-6138
Phone number: 813-401-6148
Copy
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