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MRS. JANE ANNE CLARKE LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1023146651

Individual Registrant:
MRS. JANE ANNE CLARKE LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
BLDG 1576 MASSEY AVE  NS MAYPORT, FL 32228-0042 US
Tel: 904-270-6600  Fax: 904-270-5094

Contact information for business:
12216 LAKE FERN DR E  JACKSONVILLE, FL 32258-5388 US
Tel: 904-886-8394  Fax: --

Registration Information:
NPI: 1023146651
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
DCLC303204

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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