Individual
CAROL BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8540 BAYCENTER RD, JACKSONVILLE, FL 32256-7420
(904) 448-1933
Mailing address
8540 BAYCENTER RD, JACKSONVILLE, FL 32256-7420
(904) 448-1933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW16319
FL
1041C0700X
Clinical Social Worker
SW16319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110296800
—
FL
Enumeration date
09/01/2016
Last updated
06/12/2022
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