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Organization
KAM VIRTUAL THERAPEUTIC SERVICES INC
Active
Organization
KAM VIRTUAL THERAPEUTIC SERVICES INC
Active
Other names
KAM Virtual
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ANN MINOR LCSW (PRESIDENT)
(904) 720-2090
Entity
Organization
Contact information
Practice address
11266 LAKE MANDARIN CIR E, JACKSONVILLE, FL 32223-7811
(904) 705-6130
Mailing address
7643 GATE PKWY STE 104-941, JACKSONVILLE, FL 32256-2893
(904) 720-2090
(904) 490-9998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
03/16/2022
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