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Individual

MR. ALEXANDER JACOB MABIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
(727) 367-2273
Mailing address
819 114TH AVE N APT 906, ST PETERSBURG, FL 33716-2604
(813) 514-7851

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
SW22603
FL

Other

Enumeration date
06/29/2021
Last updated
08/11/2024
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