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1518030964
MARK J. MONTEITH
DAYTONA BEACH, FL
NPI
1518030964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL SW8283)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
MR. MARK J. MONTEITH LCSW
841 JIMMY ANN DR
DAYTONA BEACH, FL 32117-4583
Phone number: 386-274-5333
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Mailing Address
MR. MARK J. MONTEITH LCSW
98 BEACON MILL LN
PALM COAST, FL 32137-8647
Phone number: 386-503-3915
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