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1598452203
RILEY JORDAN GANUS
TAMPA, FL
NPI
1598452203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 19689)
Enumeration Date
2023-04-21
Last Update Date
2023-04-21
Business Address
RILEY JORDAN GANUS MSW
1 TAMPA GENERAL CIR
TAMPA, FL 33606-3571
Phone number: 770-402-3630
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Mailing Address
RILEY JORDAN GANUS MSW
546 SEVERN AVE
TAMPA, FL 33606-4046
Phone number: 770-402-3630
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