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Individual
STEVEN P AGELIDIS
Active
Individual
STEVEN P AGELIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MCAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP100295
FL
1041C0700X
Clinical Social Worker
Primary
17391
FL
Other
Enumeration date
12/31/2018
Last updated
07/15/2020
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