Individual
JUDITH ANN RAZZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17356 US HIGHWAY 301 N, STARKE, FL 32091-1619
(440) 541-4043
Mailing address
17356 US HIGHWAY 301 N, STARKE, FL 32091-1619
(440) 541-4043
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5090
LICENSE
FL
Enumeration date
09/26/2018
Last updated
10/01/2021
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