Provider Information for 1174850770
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ALISON RUTH SOLOMON LCSW
Sex: Female
NPI: 1174850770
Last Updated: 2013-10-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1174850770 | ||||||||
| Enumeration Date | 2009-11-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1001 STARKEY RD LOT 536 LARGO, FL 33771-5485 United States Phone: 727-754-2666 | Fax: | ||||||||
| Primary Practice Address | 801 W BAY DR STE 418 LARGO, FL 33770-3220 United States Phone: 727-429-0021 | Fax: | ||||||||
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