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1467944058
AMY POPE-LATHAM
PONTE VEDRA BEACH, FL
NPI
1467944058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW15409)
Enumeration Date
2018-05-31
Last Update Date
2020-12-30
Business Address
AMY POPE-LATHAM LCSW
100 EXECUTIVE WAY STE 200
PONTE VEDRA BEACH, FL 32082-2713
Phone number: 904-470-0503
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Mailing Address
AMY POPE-LATHAM LCSW
100 EXECUTIVE WAY STE 200
PONTE VEDRA BEACH, FL 32082-2713
Phone number: 904-470-0503
Copy
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