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Lora
Lora
Moultrie
Licensed clinical social worker
Ormond Beach, United States
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Florida Health Care Practitioner Data Portal
Full name
Lora Moultrie
Job Title
Licensed Clinical Social Worker
Location
Ormond Beach, FL, USA
LIC ID
18566
Current License Expiration Date
31/03/2025
Original Date
04/05/2017
Professional Rank Code
SW
Effective Date
04/05/2017
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
VOLUSIA
Practice Location Address Line 1
551 National Health Care Drive
Practice Location Address City
DAYTONA BEACH
Practice Location Address State
FL
Practice Location Address Zipcode
32114
Mode Code
Qualified Supervisor CSW
Prescribing Indicator
N
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