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Organization
PHOENIX THERAPEUTIC SERVICES, INC
Active
Organization
PHOENIX THERAPEUTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY DAWN CHAPMAN LCSW (OWNER)
(904) 662-0126
Entity
Organization
Contact information
Practice address
12245 GEHRIG DR, JACKSONVILLE, FL 32224-4630
(904) 662-0126
Mailing address
12245 GEHRIG DR, JACKSONVILLE, FL 32224-4630
(904) 662-0126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW14849
FL
Other
Enumeration date
03/07/2018
Last updated
08/09/2019
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