Individual
ERIN N PFEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3031
(904) 697-3895
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 10509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007815700
—
FL
Enumeration date
08/16/2010
Last updated
10/18/2013
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