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1881954584
MARY KATHERINE SOUCEK
FORT MYERS, FL
NPI
1881954584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL SW12468)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2012-05-29
Last Update Date
2019-01-19
Business Address
MS. MARY KATHERINE SOUCEK M.S., M.S.W.
1940 MARAVILLA AVE
FORT MYERS, FL 33901-7135
Phone number: 239-334-0222
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Mailing Address
MS. MARY KATHERINE SOUCEK M.S., M.S.W.
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966-4805
Phone number: 239-223-2751
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