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1982152278
KAIDI TASTET-ORTIZ
ST AUGUSTINE, FL
NPI
1982152278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL sw12222)
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
-- KAIDI TASTET-ORTIZ LCSW
1400 OLD DIXIE HWY
ST AUGUSTINE, FL 32084-4190
Phone number: 904-829-2273
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Mailing Address
-- KAIDI TASTET-ORTIZ LCSW
1400 OLD DIXIE HWY
ST AUGUSTINE, FL 32084-4190
Phone number: 904-829-2273
Copy
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