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1669710273
SPRUCE CREEK MENTAL HEALTH SERVICES, LLC
PORT ORANGE, FL
NPI
1669710273
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Entity Type
Organization
Authorized Contact
EDWARD C KING
Owner
386-681-8639
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW10520)
Enumeration Date
2013-01-17
Last Update Date
2013-02-01
Business Address
SPRUCE CREEK MENTAL HEALTH SERVICES, LLC
1690 DUNLAWTON AVE SUITE 125
PORT ORANGE, FL 32127-8979
Phone number: 386-681-8639
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Mailing Address
SPRUCE CREEK MENTAL HEALTH SERVICES, LLC
6112 PALMAS DR
PORT ORANGE, FL 32127-6751
Phone number: 386-681-8639
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