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Organization
JAMES BERWICK, LCSW
Active
Organization
JAMES BERWICK, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BERWICK LCSW (OWNER/OPERATOR)
(904) 599-3602
Entity
Organization
Contact information
Practice address
505 22ND ST, ST AUGUSTINE, FL 32084-1798
(904) 599-3602
(904) 461-8368
Mailing address
505 22ND ST, ST AUGUSTINE, FL 32084-1798
(904) 599-3602
(904) 461-8368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761949900
—
FL
01
—
Z4535
BCBS
FL
Enumeration date
06/19/2011
Last updated
06/19/2011
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