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Organization
LORI PRINCE LCSW PA
Active
Organization
LORI PRINCE LCSW PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI PRINCE LCSW (PRESIDENT)
(727) 458-9506
Entity
Organization
Contact information
Practice address
1135 PASADENA AVE S STE 311, SOUTH PASADENA, FL 33707-2856
(727) 458-9506
(954) 944-2019
Mailing address
1135 PASADENA AVE S STE 311, SOUTH PASADENA, FL 33707-2856
(727) 458-9506
(954) 944-2019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW2964
FL
Other
Enumeration date
06/25/2013
Last updated
01/10/2019
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