Individual
EMMA IRWIN MCKEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
358 STILES AVE STE B, ORANGE PARK, FL 32073-4012
(904) 264-8311
(042) 648-3779
Mailing address
358 STILES AVE STE B, ORANGE PARK, FL 32073-4012
(904) 264-8311
(904) 264-8377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW14691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14691
OTHER
FL
Enumeration date
08/03/2017
Last updated
04/20/2023
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