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1912135351
PAMELA CODDINGTON BLACK
STUART, FL
NPI
1912135351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL sw5096)
Enumeration Date
2009-06-24
Last Update Date
2009-06-24
Business Address
Ms. PAMELA CODDINGTON BLACK lcsw
1301 SE SEASHELL LN
STUART, FL 34996-4156
Phone number: 772-283-7994
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Mailing Address
Ms. PAMELA CODDINGTON BLACK lcsw
1301 SE SEASHELL LN
STUART, FL 34996-4156
Phone number: 772-283-7994
Copy
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