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1215024229
GORDON GEORGE BOHL
PORT ST LUCIE, FL
NPI
1215024229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW3235)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Mr. GORDON GEORGE BOHL LCSW
8241 S US 1
PORT ST LUCIE, FL 34952
Phone number: 772-878-9368
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Mailing Address
Mr. GORDON GEORGE BOHL LCSW
8241 S US 1
PORT ST LUCIE, FL 34952
Phone number: 772-878-9368
Copy
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