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Organization
SUCCESSFUL WOMEN ACKNOWLEDGED
Active
Organization
SUCCESSFUL WOMEN ACKNOWLEDGED
Active
Parent organization
SUCCESSFUL WOMEN ACKNOWLEDGED
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUCCESSFUL WOMEN ACKNOWLEDGED
Authorized official
TIFFANY S WELLS B.S. M.S. CWCM, CPI (FOUNDER CEO)
(904) 566-0200
Entity
Organization
Contact information
Practice address
5991 CHESTER AVE STE 211, JACKSONVILLE, FL 32217-2245
(904) 566-0200
Mailing address
5991 CHESTER AVE STE 211, JACKSONVILLE, FL 32217-2245
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
3852
FL
251K00000X
Public Health or Welfare Agency
3852
FL
251S00000X
Community/Behavioral Health Agency
3852
FL
251V00000X
Voluntary or Charitable Agency
3852
FL
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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