Individual
DWIGHT POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMS1
Contact information
Practice address
1124 PARK LN, JASPER, FL 32052-6208
(386) 623-1023
Mailing address
1124 PARK LN, JASPER, FL 32052-6208
(386) 623-1023
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
P217050
FL
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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