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1538240346
KIRK D FASSHAUER
BARTOW, FL
NPI
1538240346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW15228)
Enumeration Date
2006-10-18
Last Update Date
2018-03-28
Business Address
KIRK D FASSHAUER LCSW
1255 GOLFVIEW AVE
BARTOW, FL 33830-6736
Phone number: 863-519-0575
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Mailing Address
KIRK D FASSHAUER LCSW
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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