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Organization
JACQUELINE WARNER GARMAN, LCSW, PA
Active
Organization
JACQUELINE WARNER GARMAN, LCSW, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MICHELLE WARNER LCSW (PRESIDENT)
(813) 922-8237
Entity
Organization
Contact information
Practice address
11336 JIM CT, RIVERVIEW, FL 33569-5965
(813) 922-8237
Mailing address
105 S ALBANY AVE, TAMPA, FL 33606-1710
(813) 922-8237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10745
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IA051Z
MEDICARE PTAN
FL
Enumeration date
01/22/2016
Last updated
01/22/2016
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