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1417160763
GINA LISA MANIACI
ST PETERSBURG, FL
NPI
1417160763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW5343)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- GINA LISA MANIACI LCSW
2880 1ST AVE N
ST PETERSBURG, FL 33713-8604
Phone number: 727-893-3791
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Mailing Address
-- GINA LISA MANIACI LCSW
201 MYSTIC LAKE DR N
ST PETERSBURG, FL 33702-6907
Phone number: 727-528-2472
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