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1285122689
JANICE LAVERNE WHITTED
JACKSONVILLE, FL
NPI
1285122689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
JANICE LAVERNE WHITTED
4427 EMERSON ST STE 4
JACKSONVILLE, FL 32207-4960
Phone number: 904-398-7015
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Mailing Address
JANICE LAVERNE WHITTED
4427 EMERSON ST STE 4
JACKSONVILLE, FL 32207-4960
Phone number: 904-398-7015
Copy
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