FORREST A SAMNIK
Social Work at 19 St, Palm Harbor, FL

License number
Florida 2572
Issued Date
Jul 12, 2002
Effective Date
Mar 8, 2005
Expiration Date
Mar 31, 2005
Category
Health Care
Type
Registered Clinical Social Worker Intern
Address
Address 2
1499 19Th St, Palm Harbor, FL 34683
300 E Bay Dr, Largo, FL 33770