Jhminogue, Lcsw, Inc. | |
320 S B St Lake Worth FL 33460-4039 | |
(504) 813-0519 | |
Not Available |
Full Name | Jhminogue, Lcsw, Inc. |
---|---|
Speciality | Social Worker - Clinical |
Location | 320 S B St, Lake Worth, Florida |
Authorized Official Name and Position | Jennifer Minogue (OWNER) |
Authorized Official Contact | 5612035402 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jhminogue, Lcsw, Inc. 521 Lake Ave Ste 9 Lake Worth FL 33460-3846 Ph: (561) 203-5402 | Jhminogue, Lcsw, Inc. 320 S B St Lake Worth FL 33460-4039 Ph: (504) 813-0519 |
NPI Number | 1114329117 |
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Provider Enumeration Date | 09/22/2014 |
Last Update Date | 09/22/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114329117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW11685 (Florida) | Primary |
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