Individual
ANTIONETTE JARSHAWN MILLER-MAULTSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 WILL SCARLET RD, JACKSONVILLE, FL 32208-1154
(904) 352-0066
Mailing address
4401 WILL SCARLET RD, JACKSONVILLE, FL 32208-1154
(904) 352-0066
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
103TH0100X
FL
Other
Enumeration date
05/15/2019
Last updated
01/19/2024
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