Individual
CHENNELL HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9951 ATLANTIC BLVD, #118, JACKSONVILLE, FL 32225-6584
(904) 699-0299
(904) 438-5055
Mailing address
9951 ATLANTIC BLVD, #118, JACKSONVILLE, FL 32225-6584
(904) 699-0299
(904) 438-5055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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