Individual
RAYMOND MICHAEL MCPHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
3011 SAMOSA HILL CIR, CLERMONT, FL 34714-4936
(352) 708-4120
Mailing address
3011 SAMOSA HILL CIR, CLERMONT, FL 34714-4936
(352) 708-4120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113477
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M210-733-51-287-0
DRIVERS LICENSE
FL
Enumeration date
08/06/2018
Last updated
08/06/2018
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