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Individual

DR. FRED JOSEPH RAHAIM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5635 CREST CREEK DR, JACKSONVILLE, FL 32258-5358
(904) 880-7095
(904) 880-0652
Mailing address
5635 CREST CREEK DR, JACKSONVILLE, FL 32258-5358
(904) 880-7095
(904) 880-0652

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0002524
FL

Other

Enumeration date
06/14/2006
Last updated
07/08/2007
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