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Organization
RIVER CITY FAMILY SUPPORT
Active
Organization
RIVER CITY FAMILY SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MICHAEL FITZGIBBON LCSW (OWNER/CEO)
(904) 887-1312
Entity
Organization
Contact information
Practice address
10416 SPOTTED FAWN LN, JACKSONVILLE, FL 32257-4778
(904) 887-1312
(904) 880-9451
Mailing address
PO BOX 56112, JACKSONVILLE, FL 32241-6112
(904) 887-1312
(904) 880-9451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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