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1497809040
PHILLIP STAFFORD
TITUSVILLE, FL
NPI
1497809040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 17762)
Enumeration Date
2007-01-22
Last Update Date
2023-02-24
Business Address
PHILLIP STAFFORD L.C.S.W.
3080 ROYAL OAK DR
TITUSVILLE, FL 32780-4815
Phone number: 407-435-2907
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Mailing Address
PHILLIP STAFFORD L.C.S.W.
3080 ROYAL OAK DR
TITUSVILLE, FL 32780-4815
Phone number: 407-435-2907
Copy
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