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1215350806
RICHARD J MANSON
PORT SAINT LUCIE, FL
NPI
1215350806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: FL 5814)
Enumeration Date
2014-02-02
Last Update Date
2014-02-02
Business Address
RICHARD J MANSON B.S.W. , CAP
7664 S FEDERAL HWY # US1
PORT SAINT LUCIE, FL 34952-2315
Phone number: 772-245-0075
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Mailing Address
RICHARD J MANSON B.S.W. , CAP
7664 S FEDERAL HWY # US1
PORT SAINT LUCIE, FL 34952-2315
Phone number: 772-245-0075
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