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1679979819
CARLY ATHANASATOS
PORT ST LUCIE, FL
NPI
1679979819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
222Q00000X Developmental Therapist
Enumeration Date
2014-11-17
Last Update Date
2014-11-17
Business Address
CARLY ATHANASATOS
10570 S FEDERAL HWY SWUITE 200
PORT ST LUCIE, FL 34952-5606
Phone number: 772-380-9972
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Mailing Address
CARLY ATHANASATOS
10570 S FEDERAL HWY SWUITE 200
PORT ST LUCIE, FL 34952-5606
Phone number:
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