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1467441980
SAM LAWLESS
ST AUGUSTINE, FL
NPI
1467441980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW9129)
Enumeration Date
2005-10-18
Last Update Date
2009-01-21
Business Address
-- SAM LAWLESS MSW
1955 US HIGHWAY 1 S SUITE C-2
ST AUGUSTINE, FL 32086-3708
Phone number: 904-209-6001
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Mailing Address
-- SAM LAWLESS MSW
1955 US HIGHWAY 1 S SUITE C-2
ST AUGUSTINE, FL 32086-3708
Phone number: 904-209-6001
Copy
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