Individual
MS. BIANCA A NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCSWI
Contact information
Practice address
2933 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3322
(904) 448-8002
Mailing address
2933 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3322
(904) 448-8002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 6686
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006111500
—
FL
Enumeration date
07/10/2013
Last updated
07/10/2013
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