ROSE ANN LICKENBROCK

PONTE VEDRA BEACH, FL
NPI1619624012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW6040)
Enumeration Date2022-03-05
Last Update Date2022-03-05
Business Address
ROSE ANN LICKENBROCK LCSW
116 OLD MILL CT
PONTE VEDRA BEACH, FL 32082-4133
Phone number: 904-537-7649
Mailing Address
ROSE ANN LICKENBROCK LCSW
116 OLD MILL CT
PONTE VEDRA BEACH, FL 32082-4133
Phone number: 904-537-7649
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