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1477854651
KIMBERLY STALLINGS SIRDEVAN
JACKSONVILLE, FL
NPI
1477854651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW9436)
Enumeration Date
2010-11-04
Last Update Date
2010-11-04
Business Address
Mrs. KIMBERLY STALLINGS SIRDEVAN LCSW
6780 PATANIA WAY
JACKSONVILLE, FL 32216-5798
Phone number: 904-805-0850
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Mailing Address
Mrs. KIMBERLY STALLINGS SIRDEVAN LCSW
6780 PATANIA WAY
JACKSONVILLE, FL 32216-5798
Phone number: 904-805-0850
Copy
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