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1336134717
PHILLIP V CARRACHER
PORT CHARLOTTE, FL
NPI
1336134717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW5643)
Enumeration Date
2005-09-13
Last Update Date
2007-07-08
Business Address
-- PHILLIP V CARRACHER LCSW
3191 HARBOR BLVD SUITE A
PORT CHARLOTTE, FL 33952-6755
Phone number: 941-766-9555
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Mailing Address
-- PHILLIP V CARRACHER LCSW
PO BOX 495755
PORT CHARLOTTE, FL 33949-5755
Phone number: 941-766-9555
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