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Individual

JAMES HOWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2380 HIGHWAY 179A, WESTVILLE, FL 32464-3093
(850) 982-1293
Mailing address
PO BOX 121, WESTVILLE, FL 32464-0121
(850) 982-1293

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
690516196
FL
05
690516198
FL
Enumeration date
03/02/2011
Last updated
03/02/2011
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