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Organization
MARYDINE L LAMB PA
Active
Organization
MARYDINE L LAMB PA
Active
Other names
Marydine L Lamb LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYDINE LENTZ LAMB MSW LCSW (PRESIDENT OF PA)
(813) 230-2257
Entity
Organization
Contact information
Practice address
2328 MANATEE AVE WEST, BRADENTON, FL 34205
(941) 684-1622
(941) 747-1093
Mailing address
PO BOX 2653, BRANDON, FL 33509-2653
(941) 684-1622
(941) 747-1093
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW2375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09755
VALUE OPTIONS
—
01
—
4235987
MAGELLAN
—
Enumeration date
12/11/2006
Last updated
01/23/2008
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