| NPI | 1073924619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LEVINSON Sole Proprietor 904-471-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL LCSW) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |