Reconnect Consulting Inc | |
3955 Riverside Ave Jacksonville FL 32205-3312 | |
(904) 483-3843 | |
Not Available |
Full Name | Reconnect Consulting Inc |
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Speciality | Social Worker - Clinical |
Location | 3955 Riverside Ave, Jacksonville, Florida |
Authorized Official Name and Position | Tracy A.h. Darnall (OWNER/THERAPIST) |
Authorized Official Contact | 9043220070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Reconnect Consulting Inc 3955 Riverside Ave Jacksonville FL 32205-3312 Ph: (904) 483-3843 | Reconnect Consulting Inc 3955 Riverside Ave Jacksonville FL 32205-3312 Ph: (904) 483-3843 |
NPI Number | 1003161928 |
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Provider Enumeration Date | 07/17/2012 |
Last Update Date | 06/20/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003161928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10839 (Florida) | Primary |
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