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1780208454
SHERRIE BAST
LEESBURG, FL
NPI
1780208454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL SW17286)
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
SHERRIE BAST
117 S LAKE DR
LEESBURG, FL 34788-2680
Phone number: 352-874-1610
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Mailing Address
SHERRIE BAST
117 S LAKE DR
LEESBURG, FL 34788-2680
Phone number: 352-874-1610
Copy
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