| NPI | 1235549676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET FIENEMANN P Sychotherapist 904-521-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10192) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |