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Individual

LEE STANKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1700 PARK ST N STE 109, SAINT PETERSBURG, FL 33710-4300
(941) 623-3818
Mailing address
2264 BLACK OAK CT, SARASOTA, FL 34232-4357
(941) 623-3818

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW11122
FL

Other

Enumeration date
12/18/2019
Last updated
12/18/2019
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