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1457516692
SHANE THOMAS RAYMOND
BRANDON, FL
NPI
1457516692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW9082)
Enumeration Date
2008-07-28
Last Update Date
2022-02-23
Business Address
Mr. SHANE THOMAS RAYMOND L.C.S.W.
1134 BELL SHOALS RD
BRANDON, FL 33511
Phone number: 813-315-8648
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Mailing Address
Mr. SHANE THOMAS RAYMOND L.C.S.W.
1134 BELL SHOALS RD
BRANDON, FL 33511
Phone number: 813-315-8648
Copy
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