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Organization
JANEAN FURDOCK, LCSW
Active
Organization
JANEAN FURDOCK, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANEAN FURDOCK LCSW (OWNER)
(321) 377-2243
Entity
Organization
Contact information
Practice address
35114 STAGECOACH TRL, EUSTIS, FL 32736-8004
(321) 377-2243
(352) 589-6738
Mailing address
35114 STAGECOACH TRL, EUSTIS, FL 32736-8004
(321) 377-2243
(352) 589-6738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015483300
—
FL
Enumeration date
12/06/2016
Last updated
12/06/2016
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