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1730572082
MAKIESHA WALLACE-WATSON
BRADENTON, FL
NPI
1730572082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL ISW9025)
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
MAKIESHA WALLACE-WATSON MSW
703 60TH STREET CT E
BRADENTON, FL 34208-6278
Phone number: 813-992-4082
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Mailing Address
MAKIESHA WALLACE-WATSON MSW
703 60TH STREET CT E
BRADENTON, FL 34208-6278
Phone number: 813-992-4082
Copy
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