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1912392010
RETA PASSWATERS MARTIN
BRANDON, FL
NPI
1912392010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL SW 12489)
Enumeration Date
2015-04-06
Last Update Date
2015-04-06
Business Address
RETA PASSWATERS MARTIN LCSW
421 LITHIA PINECREST RD
BRANDON, FL 33511-6138
Phone number: 813-315-8648
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Mailing Address
RETA PASSWATERS MARTIN LCSW
9109 OAK PRIDE CT
TAMPA, FL 33647-3362
Phone number: 443-562-2347
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