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1437226982
LUIS GAVIRIA
LAKE CITY, FL
NPI
1437226982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL SW5610)
Enumeration Date
2006-11-29
Last Update Date
2013-04-17
Business Address
MR. LUIS GAVIRIA LCSW
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
MR. LUIS GAVIRIA LCSW
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
Copy
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