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Individual

DANIEL STUDDARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1061 W OAKLAND PARK BLVD, WILTON MANORS, FL 33311-1609
(954) 580-0770
Mailing address
6100 BLUE LAGOON DR, SUITE 400, MIAMI, FL 33126-2079
(305) 398-6100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/08/2015
Last updated
05/08/2015
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