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Individual

MR. JOHN ROGERS MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
300 S BAY AVE, SANFORD, FL 32771-2141
(407) 321-4357
(407) 324-9055
Mailing address
237 FERNWOOD BLVD, FERN PARK, FL 32730-2116
(407) 831-2411
(407) 831-0195

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/29/2008
Last updated
03/11/2008
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