| Paper Crane Wellness Services Llc | |
|
88 Riberia St Suite 150 St Augustine FL 32084-3300 | |
| (904) 201-9533 | |
| Not Available |
| Full Name | Paper Crane Wellness Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 88 Riberia St, St Augustine, Florida |
| Authorized Official Name and Position | Carrie Kyoko Lacayo-benton (PRESIDENT) |
| Authorized Official Contact | 9042019533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paper Crane Wellness Services Llc 88 Riberia St Suite 150 St Augustine FL 32084-3300 Ph: (904) 201-9533 | Paper Crane Wellness Services Llc 88 Riberia St Suite 150 St Augustine FL 32084-3300 Ph: (904) 201-9533 |
| NPI Number | 1710384813 |
|---|---|
| Provider Enumeration Date | 12/04/2014 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710384813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW10201 (Florida) | Primary |
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