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1821425372
FABRAY DEALOW SMITH-WIGGINS
LAKE CITY, FL
NPI
1821425372
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Other Name
FABRAY WIGGINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW22559)
Enumeration Date
2013-09-30
Last Update Date
2024-11-08
Business Address
Mrs. FABRAY DEALOW SMITH-WIGGINS LCSW
124 NW MADISON ST
LAKE CITY, FL 32055-3922
Phone number: 386-209-0619
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Mailing Address
Mrs. FABRAY DEALOW SMITH-WIGGINS LCSW
3200 NW LAKE JEFFERY RD
LAKE CITY, FL 32055-4773
Phone number: 386-209-0619
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