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1861467623
IRA A. VAN VOLLENHOVEN
TAMPA, FL
NPI
1861467623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW4868)
Enumeration Date
2006-02-22
Last Update Date
2014-06-04
Business Address
-- IRA A. VAN VOLLENHOVEN L.C.S.W.
2314 S CLEWIS CT UNIT 103
TAMPA, FL 33629-6299
Phone number: 813-767-8828
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Mailing Address
-- IRA A. VAN VOLLENHOVEN L.C.S.W.
2314 S CLEWIS CT UNIT 103
TAMPA, FL 33629-6299
Phone number: 813-767-8828
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