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1790336162
STEPHEN CLINTON VAN BUREN
JACKSONVILLE, FL
NPI
1790336162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-09-26
Last Update Date
2022-09-26
Business Address
Mr. STEPHEN CLINTON VAN BUREN
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207-3691
Phone number: 904-493-7744
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Mailing Address
Mr. STEPHEN CLINTON VAN BUREN
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207-3691
Phone number: 386-213-0391
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