Individual
JENNIFER GAULT ROUSSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3725 BELFORT RD, JACKSONVILLE, FL 32216-5813
(904) 296-1055
(904) 721-2912
Mailing address
3725 BELFORT RD, JACKSONVILLE, FL 32216-5813
(904) 296-1055
(904) 721-2912
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/10/2017
Last updated
10/09/2019
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