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1639308869
LEE WELLINGTON GROSE
JACKSONVILLE, FL
NPI
1639308869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 0890001271)
Enumeration Date
2009-07-09
Last Update Date
2009-07-09
Business Address
Mr. LEE WELLINGTON GROSE LICSW
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-3473
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Mailing Address
Mr. LEE WELLINGTON GROSE LICSW
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-3473
Copy
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