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1225011869
MELODY OTT
ST AUGUSTINE, FL
NPI
1225011869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW6618)
Enumeration Date
2005-11-29
Last Update Date
2013-04-29
Business Address
Mrs. MELODY OTT LCSW
248 SOUTHPARK CIR E
ST AUGUSTINE, FL 32086-5137
Phone number: 904-797-5680
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Mailing Address
Mrs. MELODY OTT LCSW
248 SOUTHPARK CIR E
ST AUGUSTINE, FL 32086-5137
Phone number: 904-797-5680
Copy
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