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Individual

SOPHIA LOUISE BUKOWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2940 E PARK AVE, TALLAHASSEE, FL 32301-3446
(772) 577-9329
Mailing address
1209 BRAFFORTON DR, TALLAHASSEE, FL 32311-0719

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/02/2023
Last updated
08/02/2023
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