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Individual

JENNIFER BIDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 LOVELAND BLVD, PORT CHARLOTTE, FL 33980-1802
(941) 624-7200
(941) 624-7274
Mailing address
1100 LOVELAND BLVD, PORT CHARLOTTE, FL 33980-1802
(941) 624-7200
(941) 624-7274

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009379200
FL
Enumeration date
02/21/2014
Last updated
02/21/2014
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