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Individual

MR. LIONEL BURKE STAPLEFOOTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2080 TATUM AVE BLDG 2034, JACKSONVILLE, FL 32214-4382
(904) 546-6302
(904) 542-1762
Mailing address
2080 TATUM AVE BLDG 2034, JACKSONVILLE, FL 32214-7102
(904) 546-6302
(904) 542-7346

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP.0100442
FL
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
11/09/2009
Last updated
06/26/2025
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