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1912162439
/STALBURN ANTHONY VANSLUYTMAN
FORT PIERCE, FL
NPI
1912162439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW4378)
Enumeration Date
2008-07-24
Last Update Date
2008-07-24
Business Address
Mr. /STALBURN ANTHONY VANSLUYTMAN L.C.S.W.
200 TREASURE CAY DR 2-303
FORT PIERCE, FL 34947-5336
Phone number: 772-579-7825
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Mailing Address
Mr. /STALBURN ANTHONY VANSLUYTMAN L.C.S.W.
611 SW FEDERAL HWY SUITE C
STUART, FL 34994-2925
Phone number: 772-579-7825
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