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1447773270
LORI T REASONOVER
ST AUGUSTINE, FL
NPI
1447773270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW14640)
Enumeration Date
2017-07-24
Last Update Date
2017-07-24
Business Address
LORI T REASONOVER LCSW
305 KINGSLEY LAKE DR STE 702
ST AUGUSTINE, FL 32092-3045
Phone number: 904-993-0019
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Mailing Address
LORI T REASONOVER LCSW
4079 GLENHURST DR N
JACKSONVILLE, FL 32224-2297
Phone number: 904-220-6883
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