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Individual
SAM LAWLESS
Active
Individual
SAM LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
757217400
—
FL
Enumeration date
10/18/2005
Last updated
01/21/2009
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