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Organization
TWIN DREAMS LLC
Active
Organization
TWIN DREAMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGERY H RUNYAN PHD, LCSW (OWNEER)
(970) 946-0992
Entity
Organization
Contact information
Practice address
10660 OLD SAINT AUGUSTINE RD APT 402, JACKSONVILLE, FL 32257-1057
(904) 896-0346
Mailing address
10660 OLD SAINT AUGUSTINE RD APT 402, JACKSONVILLE, FL 32257-1057
(904) 896-0346
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001188500
—
FL
01
—
11827750
CAQH
—
Enumeration date
06/21/2010
Last updated
10/08/2025
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