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1962650143
JED SHLACKMAN
MIAMI, FL
NPI
1962650143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 5806)
Enumeration Date
2008-08-30
Last Update Date
2008-08-30
Business Address
Mr. JED SHLACKMAN L.M.H.C.
12965 SW 112TH AVE
MIAMI, FL 33176-4453
Phone number: 305-259-0013
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Mailing Address
Mr. JED SHLACKMAN L.M.H.C.
12965 SW 112TH AVE
MIAMI, FL 33176-4453
Phone number: 305-259-0013
Copy
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