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1578820312
TAMARA EVONNE
GAINESVILLE, FL
NPI
1578820312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 10674)
Enumeration Date
2012-04-18
Last Update Date
2012-10-10
Business Address
-- TAMARA EVONNE LCSW
711 NW 1ST ST
GAINESVILLE, FL 32601-5343
Phone number: 904-966-1056
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Mailing Address
-- TAMARA EVONNE LCSW
1485 S SEMORAN BLVD STE 1448
WINTER PARK, FL 32792-5508
Phone number: 321-397-3000
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